Individual
JENNIFER CLERISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
74 E SWEDESFORD RD STE 150, MALVERN, PA 19355-1488
(877) 210-3188
Mailing address
74 E SWEDESFORD RD STE 150, MALVERN, PA 19355-1488
(877) 210-3188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669412
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025301
PA
Other
Enumeration date
01/02/2017
Last updated
11/19/2024
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