JASON CLEMONS

CHICKASHA, OK
NPI1548678139
Professional NameJASON CLEMONS
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  73444)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OK  73444)
Enumeration Date2014-07-26
Last Update Date2019-12-18
Business Address
JASON CLEMONS
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number: 058-968-0584
Mailing Address
JASON CLEMONS
PO BOX 929
CHICKASHA, OK 73023-0929
Phone number: 405-896-8058