Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Jacqueline Clevenger, PA

Individual provider Physician Assistant · NPI 1962221937

Grace Jacqueline Clevenger, PA is a Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 274-4779
Fax: (317) 948-9806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004558A (IN)

Record details

NPI number1962221937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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