Provider Demographics
NPI:1225466261
Name:CLEARMAN, JENNIFER (RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:CLEARMAN
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 E US HIGHWAY 175
Mailing Address - Street 2:SUITE 800
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-2549
Mailing Address - Country:US
Mailing Address - Phone:972-472-3800
Mailing Address - Fax:972-472-3828
Practice Address - Street 1:1317 E US HIGHWAY 175
Practice Address - Street 2:SUITE 800
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114-2549
Practice Address - Country:US
Practice Address - Phone:972-472-3800
Practice Address - Fax:972-472-3828
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607755363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics