Clayman, Andrea H

Clayman, Andrea H is an sole proprietor health care provider with primary practice located at 11812 Crusselle Dr , Jacksonville FL 32223-0876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clayman, Andrea H can be contacted via phone (904) 252-5265.

Contact Information

Primary practice address
11812 Crusselle Dr Jacksonville FL 32223-0876
Phone: (904) 252-5265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN078635 AP01911 Louisiana

Profile Details

NPI number 1114926037
LBN Legal business name Clayman, Andrea H
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Feb 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114926037 NPPES
Louisiana MEDICAID 1685607

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