| Mr Jack Hurd Clendenin, NURSE PRACTITIONER | |
|
581 4th Ave, Gustine, CA 95322-1143 | |
| (209) 854-1120 | |
| (209) 854-1118 |
| Full Name | Mr Jack Hurd Clendenin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 581 4th Ave, Gustine, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124210513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351888 NP8015 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Hurd Clendenin, NURSE PRACTITIONER 581 4th Ave, Gustine, CA 95322-1143 Ph: (209) 854-1120 | Mr Jack Hurd Clendenin, NURSE PRACTITIONER 581 4th Ave, Gustine, CA 95322-1143 Ph: (209) 854-1120 |
Mrs. Lisa Brush, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 489 5th St, Gustine, CA 95322 Phone: 209-854-3728 | |
Sandra J. Haar, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 554 5th St, Gustine, CA 95322 Phone: 209-854-3854 Fax: 209-854-6758 | |
Manmeet Johal, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 489 5th St, Gustine, CA 95322 Phone: 209-854-3728 | |
Saudia Fatima Whitaker, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 489 5th St, Gustine, CA 95322 Phone: 209-854-3728 |