Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emily Shore

Individual provider Licensed Practical Nurse · NPI 1164390779

Emily Shore is a Licensed Practical Nurse in Ravenna, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

6847 N Chestnut St
Ravenna, OH 44266-3929
Phone: (330) 577-5116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 138559 (OH)

Record details

NPI number1164390779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 26, 2025

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