Ms Jacquline Clemons, LOTR is a
Occupational Therapist based in Archdale, North Carolina. Ms Jacquline Clemons is licensed to practice in North Carolina (license number 5927) and her current practice location is
625 Ashland St, Archdale, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 434-2902.
NPI number for Ms Jacquline Clemons is 1003187451 and her current mailing address is 5543 Frances Ct, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003187451.
Healthcare Provider's Profile
Full Name | Ms Jacquline Clemons |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 625 Ashland St, Archdale, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003187451
- Provider Enumeration Date: 01/17/2012
- Last Update Date: 01/17/2012
Medical Identifiers
Medical identifiers for Ms Jacquline Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003187451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5927 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacquline Clemons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jacquline Clemons, LOTR 5543 Frances Ct, Winston Salem, NC 27105-1772 Ph: (336) 624-3454 | Ms Jacquline Clemons, LOTR 625 Ashland St, Archdale, NC 27263-2943 Ph: (336) 434-2902 |
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