JACQUELINE L CLELAND CNM NPI 1285961805

NPI Information

NPI: 1285961805
Provider Name: JACQUELINE L CLELAND, CNM
Classification: Nurse Practitioner - 363LW0102X
Specialization: Women's Health
Entity Type: Individual
PECOS Registration: Yes
Address: 20 W LOCUST ST
NEWARK, OH
ZIP 43055
Phone: (220) 564-7940

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NPI Details

Jacqueline L Cleland, CNM is a women's health nurse practitioner in Newark, OH with 17 years of experience. Jacqueline L Cleland, CNM NPI is 1285961805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 W LOCUST ST
NEWARK, OH
ZIP 43055-520
Phone: (220) 564-7940
Fax: (220) 564-7941

The NPI 1285961805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	176B00000X	Midwife		COA.11118-NM	OHIO	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APRN.CNP.022750	OHIO	No
3	367A00000X	Advanced Practice Midwife		COA.11118-NM	OHIO	No
4	363LW0102X	Nurse Practitioner	Women's Health	APRN.CNP.022750	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3015016	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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