Provider Demographics
NPI:1487381778
Name:CLEMETSON, JAYDEN MAE (RDN)
Entity type:Individual
Prefix:
First Name:JAYDEN
Middle Name:MAE
Last Name:CLEMETSON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:JAYDEN
Other - Middle Name:MAE
Other - Last Name:RAJNICEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1450 CAPITOL DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-2608
Mailing Address - Country:US
Mailing Address - Phone:262-347-1843
Mailing Address - Fax:
Practice Address - Street 1:514 RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3631
Practice Address - Country:US
Practice Address - Phone:262-896-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist