Jennifer Dawn Clyatt
Nurse Practitioner - Primary Care
1060 Woodcock Rd
Orlando
, Florida 32803-3502
Jennifer Dawn Clyatt
Nurse Practitioner - Primary Care
1060 Woodcock Rd
Orlando
, Florida 32803-3502
(863) 370-0115
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jennifer Dawn Clyatt
- 1340 Parker Rd
- Lakeland, FL
- Zip : 33811-2652
- Phone : (863) 370-0115
Second Address
- Jennifer Dawn Clyatt
- 1060 Woodcock Rd
- Orlando, FL
- Zip : 32803-3502
- Fax : (407) 289-5279
- Phone : (321) 283-1433
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN1101024 | FL |
National Provider Identifier
| NPI | 1073179602 |
|---|---|
| Provider Name | Jennifer Dawn Clyatt |
| First Address | Lakeland, FL 33811-2652 |
| Second Address | Orlando, FL 32803-3502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2019 |
| Last Update Date | 20/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.