Individual
JENNA MICHELE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11850 BLACKFOOT ST NW STE 450, COON RAPIDS, MN 55433-2773
(763) 780-9155
(763) 236-1066
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
(612) 262-4259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13430
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2020
Last updated
10/29/2024
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