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

Jennifer Clerisson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1730624651

Jennifer Clerisson, NURSEPRACTITIONER is a Nurse Practitioner in Malvern, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Promed Preferred PA 5 Professional Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

74 E Swedesford Rd Ste 150
Malvern, PA 19355-1488
Phone: (877) 210-3188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP025301 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN669412 (PA)

Record details

NPI number1730624651
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 2, 2017
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address74 E Swedesford Rd Ste 150, Malvern, PA 19355-1488

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Promed Preferred Pa 5 Professional Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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