| Doctor Name: | MS. MARY S CLEMENS |
| NPI Number: | 1093786253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN 8098 |
| Business Practice Address: | 988 Oak Ridge Tpke Suite L-50, Physicians Plaza Oak Ridge, TN - 378306930 |
| Business Phone Number: | 8658354320 |
| Business Fax Number: | |
| Mailing Address: | 988 Oak Ridge Tpke, Suite L-50, Physicians Plaza OAK RIDGE |
| State: | TN |
| Postal Code: | 378306930 |
| Phone Number: | 8658354320 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 04/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN 8098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |