Stephanie Ann Jabbour, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 109060 Issued in OH

Practice address

2346 Richmond Rd
Cuyahoga Falls, OH 44221-3716

Phone

(330) 929-7779

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1356590509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 RICHMOND RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213716",
            "telephone_number": "330-929-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 RICHMOND RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213716",
            "telephone_number": "330-929-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 109060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Specialist 2LLC
• Internal Medicine Specialists, Inc
• Derek Andrew Irvine, D.P.M
• Linda C Irvine, MD
• Hilary Jabbour, SLP
• Tamara Jablonski, RPH
• Michael Alan Jack, DDS ,MS
• Allison Alane Abrams Jackson
• Lauren Elizabeth Jackson, PA-C
• Sabrina Jackson

• Licensed Practical Nurse in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.