Provider Demographics
NPI:1205237005
Name:CLAREY, JILL (ND)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:CLAREY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:IRVIN
Other - Last Name:CLAREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:108 E BESSEMER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1414
Mailing Address - Country:US
Mailing Address - Phone:336-456-4743
Mailing Address - Fax:
Practice Address - Street 1:108 E BESSEMER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1414
Practice Address - Country:US
Practice Address - Phone:336-456-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program