Individual
JACLYN B WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
25501 CHAGRIN BLVD, BEACHWOOD, OH 44122-5603
(440) 350-0832
(440) 579-0191
Mailing address
7757 AUBURN RD STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 579-0191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.11308
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083423
COUNCIL OF CERTIFICATION OF NURSE ANESTHETISTS - AANA
OH
05
—
3037029
—
OH
01
—
RN 326274
RN LICENSE
OH
Enumeration date
01/19/2010
Last updated
04/03/2020
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