Jan Clements Agnp Corp

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1938944405 Issued in UT

Legal business name

JAN CLEMENTS AGNP CORP

Practice address

66 E State Rd
Pleasant Grove, UT 84062-2637

Phone

(801) 796-7961

Fax

(801) 796-1101

NPI assigned

Jul 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jan Clements, N.P.

Title

Nurse Practioner

Phone

(801) 796-7961

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1124434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622637",
            "telephone_number": "801-796-7961",
            "fax_number": "801-796-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622637",
            "telephone_number": "801-796-7961",
            "fax_number": "801-796-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN CLEMENTS AGNP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "801-796-7961",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "1938944405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.