Individual
JESSICA G CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 653-6063
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 653-6063
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
17750
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2013
Last updated
10/14/2020
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