Search › Ohio › 1041C0700X
Jaelynn Shoup
NPI 1972381473 · on the registry since 2023 · sole proprietor
Practice
- Address
- 310 E Boalt St Ste E
Sandusky, OH 44870 - Phone
- (734) 600-7873
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-14
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