Provider Demographics
NPI:1932097607
Name:CLEMENS, JOY M (CNA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:M
Last Name:CLEMENS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 CATALINA DR APT F6
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4583
Mailing Address - Country:US
Mailing Address - Phone:330-231-8610
Mailing Address - Fax:
Practice Address - Street 1:33629 TOWNSHIP ROAD 392
Practice Address - Street 2:
Practice Address - City:FRAZEYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43822-9664
Practice Address - Country:US
Practice Address - Phone:330-231-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor