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Individual
JAN CLEMENTS
Active
Individual
JAN CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
193894-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
193894-4405
UT
363LG0600X
Gerontology Nurse Practitioner
95035474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124449285
—
UT
Enumeration date
12/16/2013
Last updated
10/14/2025
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