MAUREEN JACK
NPI 1205522414
Nurse Practitioner - Family in Parma, OH

Q: What is Maureen Jack's NPI number?

The NPI number for Maureen Jack is 1205522414. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Maureen Jack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Jack was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2023

7841 WEST RIDGEWOOD DRIVE, SUITE 815, PARMA, OH 44129(216) 712-9916 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maureen Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAUREEN JACK (NPI 1205522414) is an individual family provider in Parma, Ohio, licensed in Ohio (APRN.CNP.0033178) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1205522414

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAUREEN JACK

Location Address7841 WEST RIDGEWOOD DRIVE, SUITE 815Parma, OH 44129

Mailing Address2625 Ridge RdHinckley, OH 44233-9790 · (216) 712-9916

Phone(216) 712-9916

Sole ProprietorYes

Enumeration DateApril 12, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1205522414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0033178

7841 WEST RIDGEWOOD DRIVE, Parma, OH 44129

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Jack's NPI number?

The NPI number for Maureen Jack is 1205522414. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Maureen Jack located?

Maureen Jack practices at 7841 West Ridgewood Drive Suite 815, Parma, OH 44129. The listed phone number is (216) 712-9916.

What is Maureen Jack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Maureen Jack was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.