Jenifer Alexandra Clayton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143523 Issued in TX

Practice address

6115 Camp Bowie Blvd Ste 140
Fort Worth, TX 76116-5500

Phone

(817) 945-2828

Fax

(817) 945-2826

NPI assigned

Oct 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1528600400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-945-2828",
            "fax_number": "817-945-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-945-2828",
            "fax_number": "817-945-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Bedford Cir",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760211822",
            "country_code": "US",
            "telephone_number": "440-454-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JENIFER",
        "middle_name": "ALEXANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Gerard Clay, PHARMD
• Sharon M. Clay, OTA
• Ryan Claycamp
• Mary Kathryn Clayshulte
• Dianna Clayton, LPC
• Melissa Clayton, LPC
• Sydney Clayton
• Clear Eye Associates and Optical PC
• Clearcut Ortho, LLC
• Clearfork Academy

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.