Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Admiral Medical Management Group LLC

Organization Administrator Registered Nurse · NPI 1407357742

Admiral Medical Management Group LLC is an Administrator Registered Nurse in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11201 Shaker Blvd Unit 201
Cleveland, OH 44104-3869
Phone: (216) 855-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X (OH)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 366986 (OH)
Clinic/Center Taxonomy 261Q00000X (OH)
Primary Care Clinic/Center Taxonomy 261QP2300X (OH)

Record details

NPI number1407357742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ketura Jackson — Aprn Cnp · (216) 855-7775
NPI enumeratedFebruary 22, 2018
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address11201 Shaker Blvd Unit 201, Cleveland, OH 44104-3869

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