# LACHAYA MARY CLEMONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467918029
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1129719 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5012301 | NC | Yes |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 06/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 254281 | REGISTERED NURSE | NC |
| 01 | — | 5012301 | NURSE PRACTITIONER | NC |