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

Jackie Vannuyen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1710961651

Jackie Vannuyen, MD is an Obstetrics/Gynecology in Sylvania, Ohio. Graduated from Medical College of Ohio in 1995, 31 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Trained at
Medical College of Ohio
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5300 Harroun Rd Ste 226
Sylvania, OH 43560-2182
Phone: (419) 824-5640
Fax: (419) 824-5744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 35.086025 (OH)

Record details

NPI number1710961651
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1995 (31 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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