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MR. JERRY JAMES CLAYVILLE CRNP
NPI 1215010939
Nurse Practitioner - Pediatrics in Salisbury, MD

Active since October 24, 2006
223 PHILLIP MORRIS DR, SALISBURY, MD 21804(410) 548-1747(410) 548-3783 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry James Clayville Crnp NPPES

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

MR. JERRY JAMES CLAYVILLE CRNP (NPI 1215010939) is an individual pediatrics provider in Salisbury, Maryland, licensed in Maryland (R057554) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215010939
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. JERRY JAMES CLAYVILLECredential: CRNP
Location Address223 PHILLIP MORRIS DRSalisbury, MD 21804-1923
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 548-1747
Fax(410) 548-3783
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 24, 2018
✔ NPI 1215010939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R057554
223 PHILLIP MORRIS DR, Salisbury, MD 21804
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Other Identifiers 1

Medicaid119591300MD

Other Providers at the Same Location NPPES 9

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

THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 546-2424
DR. MARIA SOFIA B AVENDANO-WELCH MD
Pediatrics
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 548-1747
RICHELLE L HEALEY PA-C
Physician Assistant
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 546-2424
DR. BRUCE CHARLES WINNACOTT MD
Obstetrics & Gynecology
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 546-2424
DR. DANIEL ROBERT EISEMANN MD
Obstetrics & Gynecology
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 546-2424
DR. JODI LYNN MEYERS MD
Pediatrics
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 548-1747
MS. LILLIAN ROCHELLE BALLARD CRNP
Nurse Practitioner (Family)
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 548-1747
DR. MELINDA CASTILLO MARANAN MD
Pediatrics
223 PHILLIP MORRIS DR
SALISBURY, MD 21804
Wicomico County (410) 548-1747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Clayville's NPI number?

The NPI number for Jerry Clayville is 1215010939. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jerry Clayville located?

Jerry Clayville practices at 223 Phillip Morris Dr, Salisbury, MD 21804. The listed phone number is (410) 548-1747.

What is Jerry Clayville's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jerry Clayville was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.