Provider Demographics
NPI:1740598440
Name:CLEMMONS, APRIL DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:DENISE
Last Name:CLEMMONS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 FARBER ROW
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5214
Mailing Address - Country:US
Mailing Address - Phone:614-805-3081
Mailing Address - Fax:
Practice Address - Street 1:4817 FARBER ROW
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-5214
Practice Address - Country:US
Practice Address - Phone:614-805-3081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.103106M.IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse