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MR. JACK HURD CLENDENIN NURSE PRACTITIONER
NPI 1124210513
Nurse Practitioner - Family in Gustine, CA

Active since August 09, 2007
581 4TH AVE, GUSTINE, CA 95322(209) 854-1120(209) 854-1118 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jack Hurd Clendenin Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK HURD CLENDENIN NURSE PRACTITIONER (NPI 1124210513) is an individual family provider in Gustine, California, licensed in California (351888 NP8015) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1124210513
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JACK HURD CLENDENINCredential: NURSE PRACTITIONER
Location Address581 4TH AVEGustine, CA 95322-1143
Mailing Address581 4th AveGustine, CA 95322-1143 · (209) 854-1120 · Fax (209) 854-1118
Phone(209) 854-1120
Fax(209) 854-1118
Sole ProprietorNo
Enumeration DateAugust 9, 2007
✔ NPI 1124210513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 351888 NP8015
581 4TH AVE, Gustine, CA 95322
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATTABIRAMAN BALAM IYER M.D.
Family Medicine
581 4TH AVE
GUSTINE, CA 95322
Merced County (209) 854-1120
JOSE A GARCIA DO MEDICAL PROFESSIONAL CORPORATION
Clinic/Center (Rural Health)
581 4TH AVE
GUSTINE, CA 95322
Merced County (209) 854-1120
JOSE ANTONIO GARCIA DO
Family Medicine
581 4TH AVE
GUSTINE, CA 95322
Merced County (209) 854-1120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Clendenin's NPI number?

The NPI number for Jack Clendenin is 1124210513. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Jack Clendenin located?

Jack Clendenin practices at 581 4th Ave, Gustine, CA 95322. The listed phone number is (209) 854-1120.

What is Jack Clendenin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jack Clendenin was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.