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NPI Code Detail

MEDICARE: MRS. JAMIE CLEM LPN

MEDICARE: MRS. JAMIE CLEM LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseL057918AR

General Provider Information

NPI Number : 1548116858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE CLEM LPN
Provider Business Mailing Address
First Line : 1837 SOUTHLAND CIR
Second Line :
City : BENTON
State : AR
Zip : 72019-7821
Country : US
Telephone Number : 501-431-8480
Fax Number : 501-623-7337
Provider Business Practice Location Address
First Line : 4517 PARK AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-9476
Country : US
Telephone Number : 501-623-7900
Fax Number : 501-623-7337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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