Individual provider · Type 1 NPI

Jennifer C. Cleary, PA-C

Physician Assistant · Bloomington, MN

NPI number 1972174886 Active

Practice location

5705 W Old Shakopee Rd Ste 150
Bloomington, MN 55437-3126

Call (612) 871-1145 Map

Fax (612) 870-5491

Mailing address

4917 Eden Ave Apt 225
Edina, MN 55424-2201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13713 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972174886

Jennifer C. Cleary, PA-C's National Provider Identifier is 1972174886, issued on Jul 2, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, MN. The record was last updated on Sep 16, 2025.