Provider Demographics
NPI:1124198825
Name:CLEMENT, JEANNE ANNE (EDD APRN BC)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:ANNE
Last Name:CLEMENT
Suffix:
Gender:F
Credentials:EDD APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 WORTHINGTON HGTS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235
Mailing Address - Country:US
Mailing Address - Phone:614-888-7659
Mailing Address - Fax:614-292-4948
Practice Address - Street 1:5151 REED RD
Practice Address - Street 2:BLDG C128 CENTRAL OHIO BEHAVIORAL MEDICINE INC
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2553
Practice Address - Country:US
Practice Address - Phone:614-538-8300
Practice Address - Fax:614-538-1656
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 0762881163WP0809X
OHNS 02778163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult