NPI 1124478417 · live from the CMS NPI Registry
Lisa A Clemens, RN,CDE
Registered Nurse, Diabetes Educator in Jamestown, ND. National Provider Identifier 1124478417, active.
NPI record
| NPI | 1124478417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 2430 20th St Sw, Jamestown, ND 58401 |
| Practice phone | 701-253-5300 |
| Mailing address | Po Box 6001, Fargo, ND 58108 |
| Enumerated | June 16, 2016 |
| Last updated | June 16, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R27131 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.