Individual
SCOTT JEFFREY CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1513
(253) 984-2000
(253) 984-2049
Mailing address
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1513
(253) 984-2000
(253) 984-2049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60799444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090261
—
WA
Enumeration date
10/30/2017
Last updated
11/03/2023
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