Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob N Clendenon, MD

Individual provider Transplant Surgery Physician · NPI 1093959231

Jacob N Clendenon, MD is a General Surgery in Jacksonville, Florida. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
FL, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 — (414) 649-5534

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence 56155-20 (WI)
Transplant Surgery Physician Taxonomy 204F00000X · Licence ME145251 (FL)

Record details

NPI number1093959231
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2009
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jacksonville