Clum, Jourdan Ashley
Clum, Jourdan Ashley is an sole proprietor health care provider with primary practice located at 1859 Sw Newland Way , Lake City FL 32025-6966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clum, Jourdan Ashley can be contacted via phone (386) 758-0003.Contact Information
Primary practice address
1859 Sw Newland Way
Lake City FL 32025-6966
Phone: (386) 758-0003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN11030275 | Florida |
Profile Details
| NPI number | 1073383345 |
|---|---|
| LBN Legal business name | Clum, Jourdan Ashley |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2024 |
| Last updated | Jan 8th, 2024 - about 8 months 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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