Individual provider · Type 1 NPI

Lisa Nicole Clevenger, NP

Nurse Practitioner · Charlotte, NC

NPI number 1871087429 Active

Practice location

1001 Blythe Blvd, Medical Center Plaza Suite 200
Charlotte, NC 28203-5866

Call (704) 381-8840 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1781 Tate Blvd SE, Hickory, NC 28602-4251 · (704) 381-8840
  • 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 · (704) 403-2660
  • 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 · (704) 381-8840
  • 2550 Court Dr, Gastonia, NC 28054-2152 · (704) 381-8840

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5010611 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1871087429

Lisa Nicole Clevenger, NP's National Provider Identifier is 1871087429, issued on Jun 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.