License Verification

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JACOB NATHAN CLENDENON

License Number: ME145251

Data As Of 11/23/2024

Profession
Medical Doctor
License
ME145251
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/27/2020
Address of Record
4500 San Pablo Rd S
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CIPOLLINA, GINA MEDEA Prescribing Physician Assistant Physician Assistant 9106991 1/22/2021
MUSTO, KAITLYN REGINA Prescribing Physician Assistant Physician Assistant 9106066 8/20/2024
PROPST, JOSHUA ALLEN Prescribing Physician Assistant Physician Assistant 9106314 2/15/2021
SYIN, DORA Subordinate Medical Doctor 133560 2/17/2021
THOMPSON, CHERYL KAY Prescribing Physician Assistant Physician Assistant 2826 1/22/2021

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.