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

Shanique Abigail Fearon-Jack, NP

Individual provider Nurse Practitioner · NPI 1073244950

Shanique Abigail Fearon-Jack, NP is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2021, 5 years ago. Practices with The Metrohealth System, a 1,163-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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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

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0030958 (OH)

Record details

NPI number1073244950
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESFebruary 8, 2025
Certification dateFebruary 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Metrohealth System — 1163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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