Active NPIIndividual provider

Mr. Jonathan D Clemons, PA-C

Physician Assistant in Olympia, Washington

NPI Number1073006235
Practice location
3901 Capital Mall Dr SW Ste A, Olympia, WA 98502-8654
Fax
360-491-6328
Last updated
December 17, 2025

Jonathan Daniel Clemons is a Physician Assistant based in Olympia, WA. Jonathan Daniel Clemons practices in Olympia, WA and has the professional credentials of PA-C. The NPI Number for Jonathan Daniel Clemons is 1073006235. The current practice location address for Jonathan Daniel Clemons is 3901 Capital Mall Dr SW Ste A, Olympia, WA 98502-8654 and can be reached out via phone at 360-868-6259 and via fax at 360-491-6328.

Provider Profile Details

NPI Number
1073006235
Provider Name
Jonathan Daniel Clemons
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3901 Capital Mall Dr SW Ste A, Olympia, WA 98502-8654
Phone Number
360-868-6259
Fax Number
360-491-6328
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2018
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3901 Capital Mall Dr SW Ste A
Olympia, WA 98502-8654
Zip
98502-8654
Phone Number
360-868-6259
Fax Number
360-491-6328
Olympia, WA 98502Get directions →

Provider Business Mailing Address Details

Address
99 Hawley Ln Fl 1
Stratford, CT 06614-1204
City
Stratford
State
CT
Zip
06614-1204
Phone Number
475-321-3239
Fax Number
475-246-9952

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jonathan D Clemons, PA-C?

The NPI number of Mr. Jonathan D Clemons, PA-C is 1073006235. It was assigned on June 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Jonathan D Clemons, PA-C?

Mr. Jonathan D Clemons, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Mr. Jonathan D Clemons, PA-C practice?

The practice location is 3901 Capital Mall Dr SW Ste A, Olympia, WA 98502-8654. The office can be reached at 360-868-6259 (phone) or 360-491-6328 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073006235 directly on the NPPES registry website.

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