Provider Demographics
NPI:1841672383
Name:HONAKER, JEREMY SETH (PHD,MSN, FNP-C, DCNP)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:SETH
Last Name:HONAKER
Suffix:
Gender:M
Credentials:PHD,MSN, FNP-C, DCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 AUBURN RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9614
Mailing Address - Country:US
Mailing Address - Phone:330-888-2141
Mailing Address - Fax:
Practice Address - Street 1:7500 AUBURN RD STE 2500
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9614
Practice Address - Country:US
Practice Address - Phone:216-378-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-21
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17504-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily