# JAN CLEMENTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124449285
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 193894-4405 | UT | — |
| 363LG0600X | Gerontology Nurse Practitioner | 193894-4405 | UT | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 95035474 | CA | — |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 10/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124449285 | — | UT |