Individual provider · Type 1 NPI
Carolyn Kay Clevenger, N.P.
Gerontology Nurse Practitioner · Atlanta, GA
NPI number
1255547907
Active
Practice location
12 Executive Park Dr NE, Suite 504
Atlanta, GA 30329-2206
Mailing address
1152 Albemarle Way
Lawrenceville, GA 30044-8142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN153941 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1255547907
Carolyn Kay Clevenger, N.P.'s National Provider Identifier is 1255547907, issued on May 16, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Jun 16, 2015.