Clements, Jan

Clements, Jan is an sole proprietor health care provider with primary practice located at 1605 E Shadow Cv , Cottonwood Heights UT 84121-3664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Clements, Jan can be contacted via phone (435) 770-6594.

Contact Information

Primary practice address
1605 E Shadow Cv Cottonwood Heights UT 84121-3664
Phone: (435) 770-6594
Fax: (877) 992-0810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 193894-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 193894-4405 Utah

Profile Details

NPI number 1124449285
LBN Legal business name Clements, Jan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2013
Last updated Mar 17th, 2018 - about 7 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 1124449285 NPPES
Utah MEDICAID 1124449285

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