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

Jillian M Viancourt, FNP

Individual provider Adult Health Nurse Practitioner · NPI 1639690886

Jillian M Viancourt, FNP is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2016, 10 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

14121 Shaw Ave
Cleveland, OH 44112-2522
Phone: (216) 268-6640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 120 Drummond Rd, Avon Lake, OH 44012-1613 — (440) 315-9310
  • 2500 Metrohealth Dr, Cleveland, OH 44109-1900 — (216) 778-7800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.019920 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.019920 (OH)

Record details

NPI number1639690886
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESDecember 1, 2022
Certification dateNovember 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southwest General Medical Group Inc — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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