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Individual

MRS. JESSICA RENEE CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2700 TIBBETS DR, STE 500, BEDFORD, TX 76022-5928
(817) 545-9100
(817) 545-9134
Mailing address
2700 TIBBETS DR, STE 500, BEDFORD, TX 76022-5928
(817) 545-9100
(817) 545-9134

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
670283
TX

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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