Individual
MEGAN TANIA CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4190 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607-3804
(337) 240-9730
(337) 279-1712
Mailing address
4190 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607-3804
(318) 625-6250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160581
LA
363LF0000X
Family Nurse Practitioner
Primary
227601
LA
Other
Enumeration date
10/07/2022
Last updated
02/02/2024
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