# DR. JONATHAN PAUL CLEMENS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972865582
- **Gender:** Man
- **Credential:** DMSC, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 13724042-1206 | UT | — |
| 363A00000X | Physician Assistant | 138797 | AK | — |
| 363A00000X | Physician Assistant | MED-PAC-LIC-159346 | MT | — |
| 363A00000X | Physician Assistant | PA60299976 | WA | Yes |

## Other

- **Enumeration date:** 06/10/2012
- **Last updated:** 08/17/2026