Search › Ohio › 374U00000X
Jacqueline Blackwell
NPI 1871383935 · on the registry since 2025
Practice
- Address
- 3677 Menlo Rd
Shaker Heights, OH 44120 - Phone
- (216) 200-9358
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio