IndividualActive
Jacsun Kellogg, PMHCNS
NPI 1992950414 · Clinical Nurse Specialist · Warrensville Heights, OH
Provider details
- NPI number
- 1992950414
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHCNS
- Sex
- Male
- Sole proprietor
- No
- License
- APRN.CNS.10466 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795
Phone: (216) 352-1620
Approximate (ZIP-level) locationGet directions
Mailing address
1 Perkins Sq
Akron, OH 44308-1063
Registry dates
- Enumerated
- 2008-11-25
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.