Individual
JESSE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671-4775
(901) 484-8313
Mailing address
597 DELTA EXPRESS LN APT 105, MEMPHIS, TN 38103-1675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
217112
TN
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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