Individual
JACKEE IJEOMA CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031-6583
(704) 316-5170
(704) 316-5172
Mailing address
14512 HARVINGTON DR, HUNTERSVILLE, NC 28078-2215
(443) 520-3818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-03172
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
06/08/2023
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