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NPI Code Detail

MEDICARE: JACLYN ALGAHEIM FNP

MEDICARE: JACLYN ALGAHEIM FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0033373OH

General Provider Information

NPI Number : 1255016028
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN ALGAHEIM FNP
Provider Business Mailing Address
First Line : 9302 OLDE 8 RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-2027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9302 OLDE 8 RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-2027
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 05/01/2026

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Directions to “ JACLYN ALGAHEIM FNP” Practice Location

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