Provider Demographics
NPI:1407135023
Name:YOUSEF, JOHN A SR (MSN/FNP/CNP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:YOUSEF
Suffix:SR
Gender:M
Credentials:MSN/FNP/CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22841 HILLIARD BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3058
Mailing Address - Country:US
Mailing Address - Phone:216-407-3444
Mailing Address - Fax:440-356-8182
Practice Address - Street 1:22841 HILLIARD BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3058
Practice Address - Country:US
Practice Address - Phone:216-407-3444
Practice Address - Fax:440-356-8182
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-323620163W00000X
OH323620-COA 16282-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse