Individual
ANN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 326-8550
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017782
PA
Other
Enumeration date
09/14/2017
Last updated
05/24/2021
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