Individual provider · Type 1 NPI
Thurgood Clemon-King
Case Management Registered Nurse · Pontiac, MI
NPI number
1992655260
Active
Practice location
44200 Woodward Ave Ste 212
Pontiac, MI 48341-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704392331 (MI) |
| Ambulatory Care Registered Nurse | 163WP2201X | 4704392331 (MI) |
| Case Management Registered Nurse Primary | 163WC0400X | 4704392331 (MI) |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 4704392331 (MI) |
| Registered Nurse | 163W00000X | 4704392331 (MI) |
Case Management Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1992655260
Thurgood Clemon-King's National Provider Identifier is 1992655260, issued on Jan 28, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Pontiac, MI. The record was last updated on Mar 12, 2026.