Individual
JOHANNA CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 NE 7TH ST, GRANTS PASS, OR 97526-1358
(541) 460-5576
(541) 460-5165
Mailing address
1325 NE 7TH ST, GRANTS PASS, OR 97526-1358
(541) 460-5576
(541) 460-5165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10010285
OR
363LF0000X
Family Nurse Practitioner
Primary
131324
AK
Other
Enumeration date
12/31/2014
Last updated
08/17/2023
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