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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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