Active NPI
Jennifer Clydesdale
- Continuing Education/Staff Development Registered Nurse
- Wickliffe, OH
National Provider Identifier
1740115310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- RN.371652
- Practice address
- 1949 E 300TH St
Wickliffe, OH 44092-1646 - Phone
- (440) 487-2035
- NPI assigned
- Jun 16, 2026
- Last updated
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN.371652 | OH | Primary |
Addresses
Primary practice location
1949 E 300TH St
Wickliffe, OH 44092-1646
Mailing address
1949 E 300TH St
Wickliffe, OH 44092-1646
Phone (440) 487-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.371652 | OH | MD | Continuing Education/Staff Development Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1740115310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 E 300TH ST",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440921646",
"telephone_number": "440-487-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 E 300TH ST",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440921646",
"telephone_number": "440-487-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYDESDALE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "OH",
"license": "RN.371652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wickliffe, OH
- Edythe M Carlini
- Erin Jennifer Chamberlain, LPN
- City of Wickliffe
- Cleveland Clinic Foundation (Willoughby Hills Rehab and Physical The)
- Delight Adeline Cleversy
- Doris Eliana Cohen, PH.D.
- Commitment to Home LLC
- Commitment to Hope LLC (Commitment to Hope Mental Health Treatment Center)
- Commitment to Hope Mental Health Counseling Center LLC (Commitment to Hope LLC)
- Commitment to Hope Mental Health Counseling Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.