Clements, Jodi B
Clements, Jodi B is an sole proprietor health care provider with primary practice located at 670 Leigh Dr , Columbus MS 39705-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clements, Jodi B can be contacted via phone (662) 328-1012.Contact Information
Primary practice address
670 Leigh Dr
Columbus MS 39705-3014
Phone: (662) 328-1012
Fax: (662) 328-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00384 | Mississippi |
Profile Details
| NPI number | 1639657604 |
|---|---|
| LBN Legal business name | Clements, Jodi B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2018 |
| Last updated | Oct 7th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639657604 | NPPES |
| Mississippi | MEDICAID | 05172735 |
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