Individual
MRS. PEGGY JO CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 N WEBB RD STE 304, GRAND ISLAND, NE 68803-1751
(308) 398-2600
(308) 398-2633
Mailing address
1426 SHERIDAN PL, GRAND ISLAND, NE 68803-2521
(308) 381-7550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32698
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660130
—
NE
Enumeration date
11/03/2006
Last updated
07/08/2007
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