Jesse Michael Cleaver
Registered Nurse, General Practice in Greensboro, NC. Individual provider (NPI-1).
NPI number1740824614
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1740824614
- Entity type
- Individual (NPI-1)
- Name
- Jesse Michael Cleaver
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2019
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 264065 | NC | Yes |
Practice location
3200 Northline Ave Ste 250Greensboro, NC 27408-7619
Phone 336-938-0800
Mailing address
4 Mainsail CtGreensboro, NC 27455-0829
Other practice locations
1200 N Elm St
Greensboro, NC 27401-1004
Greensboro, NC 27401-1004
Phone 336-832-2900
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