Individual provider · Type 1 NPI

Emily Nicole Clemons, PA-C, ATC

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1346762853 Active

Practice location

1900 Wealthy St SE Ste 300
Grand Rapids, MI 49506-2969

Call (616) 774-8345 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601011456 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1346762853

Emily Nicole Clemons, PA-C, ATC's National Provider Identifier is 1346762853, issued on Jul 17, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on May 23, 2023.