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

Individual provider Family Nurse Practitioner · NPI 1245601103

Jacqueline Croston, APRN-CNP is a Nurse Practitioner in Canton, Ohio. Qualified in 2015, 11 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

236 3rd St SW
Canton, OH 44702-1607
Phone: (330) 754-4431
Fax: (330) 244-8839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.18259 (OH)

Record details

NPI number1245601103
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 16, 2015
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations40 on file with Medicare

Other providers in Canton