Individual
JOSHUA LEE CLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3016 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89102-1964
(702) 790-2701
Mailing address
5686 SHADOW BEND DR, LAS VEGAS, NV 89135-1250
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
815503
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815503
RN LICENSE
NV
Enumeration date
12/14/2020
Last updated
12/14/2020
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