Individual
MRS. RUTH SUZANNE CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 S UNIVERSITY AVE STE 615, LITTLE ROCK, AR 72205-5308
(501) 666-3666
(501) 907-9069
Mailing address
500 S UNIVERSITY AVE STE 615, LITTLE ROCK, AR 72205-5308
(501) 666-3666
(501) 907-9069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-776
LICENSE
AR
Enumeration date
03/29/2018
Last updated
09/25/2023
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