Healthcare Provider Details

I. General information

NPI: 1194645424
Provider Name (Legal Business Name): ASHLEY MAJERNICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20304 FARNSLEIGH RD STE 102
SHAKER HEIGHTS OH
44122-3600
US

IV. Provider business mailing address

20304 FARNSLEIGH RD STE 102
SHAKER HEIGHTS OH
44122-3600
US

V. Phone/Fax

Practice location:
  • Phone: 800-429-1151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041942
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: