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

Mr. Jack Hurd Clendenin, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1124210513

Mr. Jack Hurd Clendenin, NURSEPRACTITIONER is a Family Nurse Practitioner in Gustine, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

581 4th Ave
Gustine, CA 95322-1143
Phone: (209) 854-1120
Fax: (209) 854-1118
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351888 NP8015 (CA)

Record details

NPI number1124210513
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 9, 2007
Last updated in NPPESAugust 9, 2007

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