Individual provider · NPI-1

Jenna Michele Clements, PA

Physician Assistant · Coon Rapids, MN

NPI number1851924302
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1851924302
Entity type
Individual (NPI-1)
Name
Jenna Michele Clements
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2020
Certification date
Oct 24, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant13430MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Jenna Michele Borgstrom (Former Name)

Practice location

11850 Blackfoot St Nw Ste 450
Coon Rapids, MN 55433-2773

Phone 763-780-9155 · Fax 763-236-1066

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-9000 · Fax 612-262-4259

Other practice locations

507 N 17th St
Milwaukee, WI 53233

Phone 414-288-5688

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