Individual
JINNYI CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(731) 394-1145
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
(844) 374-0233
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
3009770
KY
363LG0600X
Gerontology Nurse Practitioner
71013259A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
3009770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13616310
CAQH
KY
Enumeration date
12/16/2014
Last updated
11/04/2022
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