Individual
JOSETTE JOVERO-CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N EAST ST, OLNEY, IL 62450-2432
(618) 392-2940
(618) 392-7225
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209019979
IL
363LF0000X
Family Nurse Practitioner
71008098A
IN
Other
Enumeration date
07/11/2018
Last updated
12/31/2019
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