Individual
JEFFREY MICHAEL CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 579-5628
(209) 579-5637
Mailing address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95017564
CA
Other
Enumeration date
06/30/2021
Last updated
07/21/2021
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