Individual
JASON E CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
2235 DUBOIS DR, WARSAW, IN 46580-3212
(574) 371-2625
Mailing address
808 N 3RD ST, GOSHEN, IN 46528-7100
(574) 534-0088
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
71011354A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013448A
IN
Other
Enumeration date
07/23/2021
Last updated
03/10/2023
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