Individual
ANDREA LYNN CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
Mailing address
75 TWIN OAKS DR, LEITCHFIELD, KY 42754-7607
(270) 570-1528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013014
KY
363LF0000X
Family Nurse Practitioner
Primary
3013014
KY
Other
Enumeration date
01/09/2019
Last updated
03/13/2019
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