Individual
MATTHEW ANTOINNE CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
833 WAKE FOREST BUSINESS PARK STE F, WAKE FOREST, NC 27587-7184
(919) 306-6074
(984) 297-8776
Mailing address
1404 THE PINES PL, WAKE FOREST, NC 27587-1742
(919) 368-8839
(984) 297-8776
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5014248
NC
Other
Enumeration date
03/24/2021
Last updated
01/20/2024
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