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1093696908 NPI number — SHERENA GWENEVERE CLEMENTS RN

NPI Number: 1093696908
Health Care Provider/Practitioner: SHERENA GWENEVERE CLEMENTS RN

Information about “1093696908” NPI (SHERENA GWENEVERE CLEMENTS RN) exists in 1093696908 in HTML format HTML  |  1093696908 in plain Text format TXT  |  1093696908 in PDF (Portable Document Format) PDF  |  1093696908 in an XML format XML  formats.

NPI Number : 1093696908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093696908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLEMENTS",
    "FirstName": "SHERENA",
    "MiddleName": "GWENEVERE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1403 S 4TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAYTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99328-1709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1012 S 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99328-1606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-382-3218",
    "PracticeLocationAddressFaxNumber": "509-382-9361",
    "EnumerationDate": "09/09/2025",
    "LastUpdateDate": "09/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "364SE0003X",
        "TaxonomyName": "Emergency Clinical Nurse Specialist",
        "LicenseNumber": "RN61468370",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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