JAN CLEMENTS APRN NPI 1124449285

NPI Information

NPI: 1124449285
Provider Name: JAN CLEMENTS, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1605 E SHADOW CV
COTTONWOOD HEIGHTS, UT
ZIP 84121
Phone: (435) 770-6594
Get Directions

Jan Clements, APRN is a gerontology nurse practitioner in Cottonwood Heights, UT with 11 years of experience. Jan Clements, APRN NPI is 1124449285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1605 E SHADOW CV
COTTONWOOD HEIGHTS, UT
ZIP 84121-664
Phone: (435) 770-6594
Fax: (877) 992-0810

The NPI 1124449285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	193894-4405	UTAH	No
2	363LG0600X	Nurse Practitioner	Gerontology	193894-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47-1212497	OTHER	UTAH	TIN
2	1124449285	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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