Individual
JOYCE CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1532 W 32ND ST, STE 401, JOPLIN, MO 64804-1607
(417) 347-7009
(417) 347-3288
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 347-7009
(417) 347-3288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
054405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258140A
—
OK
05
—
100280570B
—
KS
01
—
130573
ANTHEM
MO
05
—
428606339
—
MO
01
—
500010967
RR MEDICARE
—
Enumeration date
06/27/2006
Last updated
04/12/2011
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