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Individual
WENDELL CLAVONN JOHN
Active
Individual
WENDELL CLAVONN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170923
NC NURSING LICENSE #
NC
01
—
201749
NC NURSE PRACTITIONER #
NC
Enumeration date
01/03/2006
Last updated
02/04/2026
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