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MRS. SAMANTHA MARY-KATHLEEN CLEMONS FNP-C NPI 1164007563


NPI Information

NPI: 1164007563
Provider Name: MRS. SAMANTHA MARY-KATHLEEN CLEMONS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2510 S LOOP 336 W STE 115
CONROE, TX
ZIP 77304
Phone: (369) 235-2825
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MRS. Samantha Mary-kathleen Clemons, FNP-C is a family nurse practitioner in Conroe, TX with 4 years of experience. MRS. Samantha Mary-kathleen Clemons, FNP-C NPI is 1164007563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2020

The provider's business location address is:

2510 S LOOP 336 W STE 115
CONROE, TX
ZIP 77304-737
Phone: (369) 235-2825
Fax: (936) 235-2826

The NPI 1164007563 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 3/17/2021 and was last updated on 9/9/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily1032185TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.