Individual
MARGEAUX CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1021 COOLIDGE STREET, SUITE 3, GREENEVILLE, TN 37743-4676
(423) 636-0702
(423) 636-0709
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12281
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341153
—
TN
05
—
7004059
—
NC
Enumeration date
02/20/2007
Last updated
06/16/2015
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