MEDICARE: COURTNEY JANE DEL SIGNORE PA-C

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
1	363A00000X	Physician Assistant	50.009146RX	OH

General Provider Information

NPI Number	:	1376367680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY JANE DEL SIGNORE PA-C

Provider Business Mailing Address
First Line	:	1400 W PLEASANT VALLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6720
Country	:	US
Telephone Number	:	724-316-8319
Fax Number	:

Provider Business Practice Location Address
First Line	:	3762 PEARL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-2754
Country	:	US
Telephone Number	:	216-777-2155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	01/03/2026

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