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Individual

JEFFREY MARK CLINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0230
Mailing address
2026 CHARLOTTE, TEMPERANCE, MI 48182-1570
(419) 467-4646

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704241472NSA18486
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022675
OH

Other

Enumeration date
06/10/2018
Last updated
06/10/2018
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