Jacqwelynn Wyman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

193856 Issued in OH

Practice address

885 E Archwood Ave
Akron, OH 44306-2325

Phone

(330) 903-4408

NPI assigned

Oct 27, 2025

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1689542201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E ARCHWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443062325",
            "telephone_number": "330-903-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E ARCHWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443062325",
            "telephone_number": "330-903-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "JACQWELYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "193856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasia Wyatt
• Kenneth Elliot Wyatt, D.O.
• Latika Wyatt
• Patricia Ann Wyatt
• Tempess Chanelle Wyatt
• Matthew J Wyneski, M.D.
• Sherena Wynn
• Fangfei Xiao, DO
• Weina Xie, CNP
• Xpedient Transportation, Inc

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, 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 Jan 30, 2026; 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.