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NPI Code Detail

MEDICARE: JENNIFER DELANEY NP

MEDICARE:   JENNIFER  DELANEY  NP
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
1363LA2200XAdult Health Nurse Practitioner16216.NPOH
2363LP2300XPrimary Care Nurse PractitionerAPRN16216OH
3207QA0401XAddiction Medicine (Family Medicine) PhysicianAPRNCNP16216OH
4363LG0600XGerontology Nurse PractitionerAPRN16216OH
5363LA2200XAdult Health Nurse PractitionerAPRN16216OH
6363L00000XNurse PractitionerAPRN.CNP.16216OH

General Provider Information

NPI Number : 1942617527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DELANEY NP
Provider Business Mailing Address
First Line : 11201 SHAKER BLVD STE 106
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3833
Country : US
Telephone Number : 216-352-6521
Fax Number :
Provider Business Practice Location Address
First Line : 11201 SHAKER BLVD STE 106
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3833
Country : US
Telephone Number : 216-352-6521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2014
Last Update Date : 04/10/2026

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