Individual provider · Type 1 NPI

Jourdan Ashley Clum, ARNP

Pediatric Nurse Practitioner · Lake City, FL

NPI number 1073383345 Active

Practice location

1859 SW Newland Way
Lake City, FL 32025-6966

Mailing address

19851 NW 257th Ter
High Springs, FL 32643-2044

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11030275 (FL)

Pediatric Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1073383345

Jourdan Ashley Clum, ARNP's National Provider Identifier is 1073383345, issued on Jan 8, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake City, FL. The record was last updated on Jan 8, 2024.