Provider Demographics
NPI:1225846637
Name:CLAYTON, JENNIFER MICHELLE (RN, RTSCBC, SBD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELLE
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:RN, RTSCBC, SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1746 LANDON AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8758
Mailing Address - Country:US
Mailing Address - Phone:904-525-7731
Mailing Address - Fax:
Practice Address - Street 1:1746 LANDON AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8758
Practice Address - Country:US
Practice Address - Phone:904-525-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula