Jermaine T. Clayborne, MSN, APRN, NNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

0024180184 Issued in VA

Practice address

4000 City Walk Way Apt 230
Charlottesville, VA 22902-5563

Phone

(804) 892-4818

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrix Medical Group PC

  • Neonatal-Perinatal Medicine Physician
  • Winchester, VA
  • NPI 1205928587
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1437729316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CITY WALK WAY APT 230",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025563",
            "telephone_number": "804-892-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CITY WALK WAY APT 230",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025563",
            "telephone_number": "804-892-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORNE",
        "first_name": "JERMAINE",
        "middle_name": "T.",
        "credential": "MSN, APRN, NNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "VA",
            "license": "0024180184",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "VA",
            "license": "0024180184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ione Clarke
• Chandra M Clarke, PHARMD
• Emma Aurelia Clarke, RDN
• Stephen M Clarke, DDS
• William L. Clarke
• Anita H. Clayton, M.D.
• Joseph Connor Clemens, MD, MS
• Jean Michelina Clement, MD
• Rebecca Frances Patricia Clemo, MD
• Bruce D Clemons, MD

• Neonatal Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Neonatal Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.