Individual
JACQUELINE M JUNGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 350-0832
(440) 579-0191
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.13947
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13947-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074576
—
OH
Enumeration date
08/28/2012
Last updated
02/16/2026
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