Doctor Name: | JANE KLEMMER |
NPI Number: | 1265474100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP101036 |
Business Practice Address: | 53 Fremont St Machias, ME - 046541320 |
Business Phone Number: | 2072558290 |
Business Fax Number: | 2072554109 |
Mailing Address: | Po Box H, EASTPORT |
State: | ME |
Postal Code: | 046310909 |
Phone Number: | 2078536001 |
Fax Number: | 2078534031 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP101036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |