Clemente-Metz, Jennifer C

Clemente-Metz, Jennifer C is an sole proprietor health care provider with primary practice located at 1802 E 10Th St , Jeffersonville IN 47130-6016. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clemente-Metz, Jennifer C can be contacted via phone (812) 288-2488.

Contact Information

Primary practice address
1802 E 10Th St Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (770) 573-9513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 10000891A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA745 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000891AB Indiana

Profile Details

NPI number 1962562801
LBN Legal business name Clemente-Metz, Jennifer C
Credentials PA-C, M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Nov 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962562801 NPPES
Kentucky Other PA745 STATE LICENSE
Kentucky Other 10000891A STATE LICENSE
Kentucky MEDICAID 300006743 STATE LICENSE
Kentucky Other IN3604007 STATE LICENSE

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