Individual
MS. JENNIFER H CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4824 E BASELINE RD, BUILDING 3 SUITE 125, MESA, AZ 85206-4676
(480) 839-4848
(480) 833-8310
Mailing address
4824 E BASELINE RD, BUILDING 3 SUITE 125, MESA, AZ 85206-4676
(480) 839-4848
(480) 833-8310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN046231
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN046231
NP LICENSE
AZ
Enumeration date
04/10/2007
Last updated
07/14/2011
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