Individual
DEVIN CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
98 JERICHO TPKE, COMMACK, NY 11725-3009
(631) 387-4355
Mailing address
20 ALMA LN, E NORTHPORT, NY 11731-3710
(505) 239-5330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-02986
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-02986
NM
Other
Enumeration date
07/26/2016
Last updated
08/30/2021
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