Provider Demographics
NPI:1205566783
Name:CHAPMAN, JENNIFER ELYSE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELYSE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ELYSE
Other - Last Name:JANOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1818 LOVERS LN NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-1417
Mailing Address - Country:US
Mailing Address - Phone:330-754-8628
Mailing Address - Fax:
Practice Address - Street 1:1818 LOVERS LN NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-1417
Practice Address - Country:US
Practice Address - Phone:330-754-8628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031049363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology