Provider Demographics
NPI:1851265664
Name:FIREFLY PEDIATRICS OF KEMP
Entity type:Organization
Organization Name:FIREFLY PEDIATRICS OF KEMP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,CPNP
Authorized Official - Phone:903-275-6832
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:KEMP
Mailing Address - State:TX
Mailing Address - Zip Code:75143-0326
Mailing Address - Country:US
Mailing Address - Phone:903-275-6832
Mailing Address - Fax:
Practice Address - Street 1:1222 S ELM ST
Practice Address - Street 2:
Practice Address - City:KEMP
Practice Address - State:TX
Practice Address - Zip Code:75143-7708
Practice Address - Country:US
Practice Address - Phone:903-275-6832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty