Individual provider · Type 1 NPI

Jennifer Dawn Clyatt, APRN, AGNP-C

Gerontology Nurse Practitioner · Lakeland, FL

NPI number 1073179602 Active

Practice location

4740 Exploration Ave
Lakeland, FL 33812-3319

Fax (863) 606-0887

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11001024 (FL)
Primary Care Nurse Practitioner 363LP2300XAPRN1101024 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1073179602

Jennifer Dawn Clyatt, APRN, AGNP-C's National Provider Identifier is 1073179602, issued on May 20, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lakeland, FL. The record was last updated on Jan 21, 2026.