Individual
JERMAINE T. CLAYBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
4000 CITY WALK WAY APT 230, CHARLOTTESVILLE, VA 22902-5563
(804) 892-4818
Mailing address
4000 CITY WALK WAY APT 230, CHARLOTTESVILLE, VA 22902-5563
(804) 892-4818
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024180184
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
0024180184
VA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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