Individual
JESSICA KAYE CLAYCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1701 12TH AVE, ALTOONA, PA 16601-3100
(814) 942-9600
(814) 942-9617
Mailing address
63 PITT ST, SHARON, PA 16146-2102
(814) 942-9600
(814) 942-9617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN528693L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046603160001
—
PA
05
—
1046603160002
—
PA
05
—
1046603160003
—
PA
Enumeration date
06/13/2025
Last updated
07/06/2026
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