MR. JACK CLENDENIN, NURSE PRACTITIONER
Nurse Practitioner - Family
Active
Individual
NPI: 1124210513
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 351888 NP8015 (CA) |
Frequently Asked Questions
NPI 1124210513 is the National Provider Identifier for MR. JACK CLENDENIN, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Gustine, CA. This NPI was enumerated on August 9, 2007.
MR. JACK CLENDENIN, NURSE PRACTITIONER practices at 581 4TH AVE, Gustine, CA 95322.
Quick Facts
- NPI
- 1124210513
- Type
- Individual
- Enumerated
- Aug 9, 2007
- Last Updated
- Aug 9, 2007
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