KARMON JO CLEARY FNP-C - NPI 1174244651 - Nurse Practitioner in Santa Maria, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Karmon Jo Cleary Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARMON JO CLEARY FNP-C (NPI 1174244651) is an individual family provider in Santa Maria, California, licensed in California (95020771) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1174244651

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKARMON JO CLEARYCredential: FNP-C

Location Address116 S PALISADE DR STE 200Santa Maria, CA 93454-8905

Mailing Address116 S Palisade Dr Ste 200Santa Maria, CA 93454-8905 · (805) 739-3968 · Fax (805) 739-3051

Phone(805) 739-3968

Fax(805) 739-3051

Sole ProprietorNo

Enumeration DateSeptember 5, 2022

Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1174244651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95020771

116 S PALISADE DR STE 200, Santa Maria, CA 93454

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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