person
Mr. Jack Hurd Clendenin, NURSEPRACTITIONER
Family Nurse Practitioner in Gustine, California
NPI 1124210513

Jack Hurd Clendenin is a Family Nurse Practitioner based in Gustine, CA and is specialized in Family. Jack Hurd Clendenin practices in Gustine, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jack Hurd Clendenin is 1124210513 and holds a License No. 351888 NP8015 (California).

The current practice location address for Jack Hurd Clendenin is 581 4Th Ave, Gustine, CA and can be reached out via phone at 209-854-1120 and via fax at 209-854-1118.

Location: 581 4Th Ave, Gustine, CA, 95322-1143
person
Provider Profile Details
NPI Number
1124210513
Provider Name
Jack Hurd Clendenin
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
581 4Th Ave, Gustine, CA, 95322-1143
Phone Number
209-854-1120
Fax Number
209-854-1118
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
581 4Th Ave
City
State
Zip
95322-1143
Phone Number
209-854-1120
Fax Number
209-854-1118
person
Provider Business Mailing Address Details
Address
581 4Th Ave
City
State
Zip
95322-1143
Phone Number
209-854-1120
Fax Number
209-854-1118
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
351888 NP8015 (California)
Definition
Definition to come...
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