Individual
JACQUELINE L CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20 W LOCUST ST, NEWARK, OH 43055-5520
(220) 564-7940
(220) 564-7941
Mailing address
20 W LOCUST ST, NEWARK, OH 43055-5520
(220) 564-7940
(220) 564-7941
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
COA.11118-NM
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.022750
OH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN.CNP.022750
OH
367A00000X
Advanced Practice Midwife
COA.11118-NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015016
—
OH
Enumeration date
11/04/2009
Last updated
01/26/2024
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