Adrienne Nicole Clemons, FNP-BC
Nurse Practitioner, Family in Stockbridge, GA. Individual provider (NPI-1).
NPI number1871124875
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1871124875
- Entity type
- Individual (NPI-1)
- Name
- Ms. Adrienne Nicole Clemons
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN233484 | GA | Yes |
| 163W00000X | Registered Nurse | RN233484 | GA |
Practice location
1019 Landing PtStockbridge, GA 30281-9066
Phone 786-327-8633
Mailing address
1019 Landing PtStockbridge, GA 30281-9066
Phone 786-327-8633
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