Healthcare Provider Details

I. General information

NPI: 1942617527
Provider Name (Legal Business Name): JENNIFER DELANEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 SHAKER BLVD STE 106
CLEVELAND OH
44104-3833
US

IV. Provider business mailing address

11201 SHAKER BLVD STE 106
CLEVELAND OH
44104-3833
US

V. Phone/Fax

Practice location:
  • Phone: 216-352-6521
  • Fax:
Mailing address:
  • Phone: 216-352-6521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.16216
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number16216.NP
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN16216
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN16216
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN16216
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberAPRNCNP16216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: