Cleary, Jennifer H

Cleary, Jennifer H is an individual health care provider with primary practice located at 4824 E Baseline Rd Building 3 Suite 125, Mesa AZ 85206-4676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cleary, Jennifer H can be contacted via phone (480) 839-4848.

Contact Information

Primary practice address
4824 E Baseline Rd Building 3 Suite 125 Mesa AZ 85206-4676
Phone: (480) 839-4848
Fax: (480) 833-8310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN046231 Arizona

Profile Details

NPI number 1225251051
LBN Legal business name Cleary, Jennifer H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225251051 NPPES
Arizona Other RN046231 NP LICENSE

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