Clyatt, Jennifer Dawn

Clyatt, Jennifer Dawn is an sole proprietor health care provider with primary practice located at 2237 Lithia Center Ln , Valrico FL 33596-5676. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Clyatt, Jennifer Dawn can be contacted via phone (813) 662-0123.

Contact Information

Primary practice address
2237 Lithia Center Ln Valrico FL 33596-5676
Phone: (813) 662-0123
Fax: (813) 662-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN1101024 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11001024 Florida

Profile Details

NPI number 1073179602
LBN Legal business name Clyatt, Jennifer Dawn
Credentials APRN, AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2019
Last updated Jan 3rd, 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 1073179602 NPPES
Florida Other APRN11001024 MED LICENSE

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