Jacqulyn Stachowiak
Jacqulyn Stachowiak is a Nurse Practitioner in Olmsted Twp, Ohio. Qualified in 2016, 10 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 10
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
27076 Bagley RdOlmsted Twp, OH 44138
Phone: (440) 816-8380
Fax: (440) 816-8383
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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.019712 (OH) |
|---|
Record details
| NPI number | 1073068896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2016 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | May 24, 2022 |
| Mailing address | 27076 Bagley Road, Olmsted Twp, OH 44138 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Southwest General Medical Group Inc — 235 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Olmsted Twp
-
Rebecca S Albright, APRN
27230 Bagley Rd, Olmsted Twp, OH 44138-1063 · (440) 781-6621
-
Mrs. Thu Thao Bui
27369 Tiller Dr, Olmsted Twp, OH 44138-1771 · (216) 212-8247
-
Jennifer L. Williams, MSN, FNP-C
27089 Bagley Rd, Olmsted Twp, OH 44138-1103 · (440) 234-4700