Active NPIIndividual provider

Jennifer L Clevenger, CRNA

Nurse Anesthetist, Certified Registered in Carbondale, Illinois

NPI Number1740656438
Practice location
35 Albany RD, Suite C, Carbondale, IL 62903-7646
Fax
618-457-6560
Last updated
February 25, 2026

Jennifer Lynn Clevenger is a Nurse Anesthetist, Certified Registered based in Carbondale, IL. Jennifer Lynn Clevenger practices in Carbondale, IL and has the professional credentials of CRNA. The NPI Number for Jennifer Lynn Clevenger is 1740656438 and holds a License No. 041375950 (IL). The current practice location address for Jennifer Lynn Clevenger is 35 Albany RD, Suite C, Carbondale, IL 62903-7646 and can be reached out via phone at 618-457-5111 and via fax at 618-457-6560.

Provider Profile Details

NPI Number
1740656438
Provider Name
Jennifer Lynn Clevenger
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
35 Albany RD, Suite C, Carbondale, IL 62903-7646
Phone Number
618-457-5111
Fax Number
618-457-6560
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2015
Last Update Date
February 25, 2026
Certification Date
February 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Albany RD
Suite C
Carbondale, IL 62903-7646
Zip
62903-7646
Phone Number
618-457-5111
Fax Number
618-457-6560
Carbondale, IL 62903Get directions →

Provider Business Mailing Address Details

Address
35 Albany RD Ste C
Carbondale, IL 62903-7647
City
Carbondale
State
IL
Zip
62903-7647
Phone Number
618-457-5111
Fax Number
618-457-6560

License Information

License Number (1)
041375950
License State (1)
IL
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
112643-23
License State (2)
NH
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer L Clevenger, CRNA?

The NPI number of Jennifer L Clevenger, CRNA is 1740656438. It was assigned on August 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Jennifer L Clevenger, CRNA?

Jennifer L Clevenger, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in IL under license number 041375950.

Where does Jennifer L Clevenger, CRNA practice?

The practice location is 35 Albany RD, Suite C, Carbondale, IL 62903-7646. The office can be reached at 618-457-5111 (phone) or 618-457-6560 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740656438 directly on the NPPES registry website.

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