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

Jacquelyn Tanis, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1720732571

Jacquelyn Tanis, CPNP is a Pediatric Nurse Practitioner in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone: (216) 778-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN.CNP.0030724 (OH)

Record details

NPI number1720732571
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESNovember 6, 2023
Certification dateFebruary 10, 2022

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