Clemons, Scott Jeffrey

Clemons, Scott Jeffrey is an individual health care provider with primary practice located at 9537 Gravelly Lake Dr Sw , Lakewood WA 98499-1513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clemons, Scott Jeffrey can be contacted via phone (253) 984-2000.

Contact Information

Primary practice address
9537 Gravelly Lake Dr Sw Lakewood WA 98499-1513
Phone: (253) 984-2000
Fax: (253) 984-2049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60799444 Washington

Profile Details

NPI number 1053823047
LBN Legal business name Clemons, Scott Jeffrey
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2017
Last updated Nov 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053823047 NPPES
Washington MEDICAID 2090261

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