Cleland, Jacqueline L

Cleland, Jacqueline L is an individual health care provider with primary practice located at 20 W Locust St , Newark OH 43055-5520. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Cleland, Jacqueline L can be contacted via phone (220) 564-7940.

Contact Information

Primary practice address
20 W Locust St Newark OH 43055-5520
Phone: (220) 564-7940
Fax: (220) 564-7941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X COA.11118-NM Ohio
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN.CNP.022750 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA.11118-NM Ohio
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN.CNP.022750 Ohio

Profile Details

NPI number 1285961805
LBN Legal business name Cleland, Jacqueline L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2009
Last updated Jan 26th, 2024 - about 2 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 1285961805 NPPES
Ohio MEDICAID 3015016

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