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Individual

JOURDAN ASHLEY CLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
Mailing address
19851 NW 257TH TER, HIGH SPRINGS, FL 32643-2044
(135) 272-7165

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11030275
FL

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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