Individual provider · Type 1 NPI

Matthew Antoinne Clemons, NP

Psychiatric/Mental Health Nurse Practitioner · Wake Forest, NC

NPI number 1720664113 Active

Practice location

833 Wake Forest Business Park Ste F
Wake Forest, NC 27587-7184

Fax (984) 297-8776

Mailing address

1404 The Pines Pl
Wake Forest, NC 27587-1742

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5014248 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720664113

Matthew Antoinne Clemons, NP's National Provider Identifier is 1720664113, issued on Mar 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wake Forest, NC. The record was last updated on Jan 20, 2024.