Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAC A CLEMENT, PA-C
ActiveMR. JAC A CLEMENT, PA-C is a Physician Assistant healthcare provider located in OCONTO, Wisconsin. NPI 1649289778 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OCONTO, WI
Registration Details
- NPI Number
- 1649289778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2006 (20.014863725888 yrs)
- Last Updated
- Nov 18, 2014
- Licenses
-
603-023 (WI)085-001577 (IL)
Practice Information
- Address
-
820 ARBUTUS AVEOCONTO, WI, 541532004Browse WI providers · Browse ZIP 54153
- Phone
- 9208351100
- Fax
- 9208351099
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OCONTO, WI
| Name | Credential | NPI |
|---|---|---|
| AMANDA K WESTMORELAND | PA | 1285671032 |
| RYAN PATRICK MACDONALD | PA | 1215282223 |
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.