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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACK HURD CLENDENIN, NURSE PRACTITIONER

Active

MR. JACK HURD CLENDENIN, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in GUSTINE, California. NPI 1124210513 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · GUSTINE, CA

Registration Details

NPI Number
1124210513
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2007 (19.0265722354 yrs)
Last Updated
Aug 9, 2007
License
351888 NP8015 (CA)

Practice Information

Address
581 4TH AVE
GUSTINE, CA, 953221143
Browse CA providers · Browse ZIP 95322
Phone
2098541120
Fax
2098541118
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in GUSTINE, CA

Name Credential NPI
SANDRA J. HAAR F.N.P 1104008465
MRS. LISA BRUSH NP 1023473055
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.