Provider Demographics
NPI:1265474100
Name:KLEMMER, JANE (NP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:KLEMMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3090 N LITCHFIELD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-9214
Mailing Address - Country:US
Mailing Address - Phone:623-536-0707
Mailing Address - Fax:623-536-2323
Practice Address - Street 1:377 W RIVER WOODS PKWY STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212-1088
Practice Address - Country:US
Practice Address - Phone:414-323-6880
Practice Address - Fax:414-539-3651
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2025-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAP1989363LF0000X
WI1665-33363LF0000X
MEAP101036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily