Jennifer Clement, CFM
Individual provider Active NPI Mastectomy Fitter · Oxford, NC
NPI 1497048086 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1497048086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mastectomy Fitter 224900000X
- License
- CFM02010 (NC)
- Practice address
- 142 Roxboro Rd
Oxford, NC 27565-2642 - Phone
- (919) 693-2260
- Fax
- (919) 693-7368
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFM02010 | NC | MD | Mastectomy Fitter |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | CFM02010 | NC | Yes |
Addresses
Primary practice location
142 Roxboro Rd
Oxford, NC 27565-2642
Mailing address
142 Roxboro Rd
Oxford, NC 27565-2642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704687 | Medicaid | NC |
Other providers in Oxford, NC
- Romeka Cherrelle Chavis
- Christina Louise Hite
- Kelly Denny Claiborne
- Bridget Shouse Clark
- Bart Leigh Cleary
- Jonathan Moore Cloud
- Thomas Kelly Cogdell
- Michelle Roghelia Collier
- Compassionate Care in Home Services
- Mary Dobelstein Constantino
All providers in Oxford, NC · Mastectomy Fitter in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 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.