Deborah Leigh Clemens, RN
Individual provider Active NPI Registered Nurse · Sebring, OH
NPI 1114210010 · NPPES record last updated May 25, 2011
Key facts
- NPI
- 1114210010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN6328 (OH)
- Practice address
- 226 E Michigan Ave
Sebring, OH 44672-1437 - Phone
- (330) 851-3132
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN6328 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triecare Residential Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN6328 | OH | Yes |
Addresses
Primary practice location
226 E Michigan Ave
Sebring, OH 44672-1437
Mailing address
226 E Michigan Ave
Sebring, OH 44672-1437
Phone (330) 851-3132
Other providers in Sebring, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.