Provider Demographics
NPI:1568702678
Name:CLEEMPUT, AMY JO (CNS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:CLEEMPUT
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1214
Mailing Address - Country:US
Mailing Address - Phone:419-429-7670
Mailing Address - Fax:419-429-0805
Practice Address - Street 1:1900 S MAIN ST
Practice Address - Street 2:CDS ROOM 3349
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1214
Practice Address - Country:US
Practice Address - Phone:419-429-7670
Practice Address - Fax:419-429-0805
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13782-NS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health