Individual
ZACHARY ALLEN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(404) 364-7080
(404) 364-4984
Mailing address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(404) 364-7089
(404) 364-4984
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP153940
GA
363LA2200X
Adult Health Nurse Practitioner
APRN-NP153940
GA
363LF0000X
Family Nurse Practitioner
APRN-NP153940
GA
Other
Enumeration date
05/23/2006
Last updated
10/14/2025
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