Whalio Doctors

NPI 1093959231

Jacob N Clendenon, MD

Practitioner Transplant Surgery Physician Jacksonville, FL

Practice location

Address
4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone
(904) 953-2000

Registered specialties (2)

Transplant Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence 56155-20 (WI)
Transplant Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence ME145251 (FL)

Registry record

NPI
1093959231
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Apr 2009
Record last updated
17 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.