Individual
JENNIFER LYNN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 ALBANY RD, SUITE C, CARBONDALE, IL 62903-7646
(618) 457-5111
(618) 457-6560
Mailing address
35 ALBANY RD STE C, CARBONDALE, IL 62903-7647
(618) 457-5111
(618) 457-6560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041375950
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
112643-23
NH
Other
Enumeration date
08/17/2015
Last updated
02/25/2026
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