NPI | 1548678139 |
---|---|
Professional Name | JASON CLEMONS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 73444) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 73444) |
Enumeration Date | 2014-07-26 |
Last Update Date | 2019-12-18 |