Individual provider Active NPI

Grace Clere

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1669386884
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026041151 Issued in MO
Practice address
3527 W Truman Blvd Ste 100a
Jefferson City, MO 65109-5902
Phone
(573) 882-8910
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2026041151 MO Primary

Addresses

Primary practice location

3527 W Truman Blvd Ste 100a
Jefferson City, MO 65109-5902

Mailing address

3527 W Truman Blvd Ste 100a
Jefferson City, MO 65109-5902
Phone (573) 882-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1669386884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 W TRUMAN BLVD STE 100A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095902",
            "telephone_number": "573-882-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 W TRUMAN BLVD STE 100A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095902",
            "telephone_number": "573-882-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERE",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026041151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.