Individual
JILL D CLEMMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 3002ND, GREENVILLE, SC 29615-4566
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
857
SC
367500000X
Certified Registered Nurse Anesthetist
APRN857
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20031911
SELECT HEALTH GROUP
SC
01
—
20033826
SELECT HEALTH IND ID
SC
05
—
AN0605
—
SC
Enumeration date
05/20/2006
Last updated
12/28/2021
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