Clearman, Selena

Clearman, Selena is an individual health care provider with primary practice located at 7100 U S Highway 98 Ste 140 , Hattiesburg MS 39402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clearman, Selena can be contacted via phone (601) 261-5710.

Contact Information

Primary practice address
7100 U S Highway 98 Ste 140 Hattiesburg MS 39402
Phone: (601) 261-5710
Fax: (601) 268-5058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R852019 Mississippi

Profile Details

NPI number 1518944560
LBN Legal business name Clearman, Selena
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 5th, 2018 - about 6 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 1518944560 NPPES
Mississippi Other 11552881 CAQH ID NUMBER
Mississippi Other 7684480 CAQH ID NUMBER
Mississippi MEDICAID 00123556 CAQH ID NUMBER
Mississippi Other P00718596 CAQH ID NUMBER

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