Individual
WILLIAM CLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1009 NOVUS DR STE 1A, JOHNSON CITY, TN 37604-8237
(423) 282-2516
(423) 282-3743
Mailing address
1009 NOVUS DR STE 1A, JOHNSON CITY, TN 37604-8237
(423) 282-2516
(423) 282-3743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 8014
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203807201
TAX ID
TN
05
—
3642412
—
TN
01
—
4135121
BCBS OF TN
TN
Enumeration date
06/09/2005
Last updated
03/06/2025
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