Individual
JEANETTE CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
1951 SE 32ND ST, CAPE CORAL, FL 33904-4092
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2884932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190462133
CHAMPUS
—
05
—
304394100
—
FL
01
—
430025065
RAILROAD MEDICARE
—
01
—
G2359
BC BS FL
—
Enumeration date
02/15/2006
Last updated
02/28/2013
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