Individual
JACQUELINE A SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
7600 SOUTHERN BLVD STE 1, YOUNGSTOWN, OH 44512-6085
(330) 549-8057
(330) 702-1287
Mailing address
100 DEBARTOLO PL STE 200, YOUNGSTOWN, OH 44512-6095
(330) 549-8057
(330) 702-1287
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.023891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011748
—
OH
Enumeration date
10/23/2018
Last updated
02/11/2026
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