Jennifer Clydesdale

Individual provider Active NPI Continuing Education/Staff Development Registered Nurse · Wickliffe, OH

NPI 1740115310 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1740115310
Entity type
Individual (NPI type 1)
Primary specialty
Continuing Education/Staff Development Registered Nurse 163WC1600X
License
RN.371652 (OH)
Practice address
1949 E 300TH St
Wickliffe, OH 44092-1646
Phone
(440) 487-2035
NPI assigned
Jun 16, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X RN.371652 OH Yes

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

Other providers in Wickliffe, OH

All providers in Wickliffe, OH · Continuing Education/Staff Development Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.