Jennifer Wyman-Clemons
Allergist & Immunologist
Madigan Army Medical Ctr
Tacoma
, Washington 98431-0001
Jennifer Wyman-Clemons
Allergist & Immunologist
Madigan Army Medical Ctr
Tacoma
, Washington 98431-0001
(253) 566-1827
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Jennifer Wyman-Clemons
- 5304 87th Avenue Ct W
- University Place, WA
- Zip : 98467-1848
- Phone : (253) 566-1827
Second Address
- Jennifer Wyman-Clemons
- Madigan Army Medical Ctr
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-1035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | MD00042391 | WA |
National Provider Identifier
| NPI | 1235277575 |
|---|---|
| Provider Name | Jennifer Wyman-Clemons |
| First Address | University Place, WA 98467-1848 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F54766 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.