Provider Demographics
NPI:1003532243
Name:CLEMENTS, CHELSEA JONES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:JONES
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ELISE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9155 ASHBURN LN
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-6155
Mailing Address - Country:US
Mailing Address - Phone:228-760-4725
Mailing Address - Fax:
Practice Address - Street 1:3657 MARKET ST
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39567-3233
Practice Address - Country:US
Practice Address - Phone:228-762-9683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE100745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist