| Clemons Resiliency & Wellness Pllc | |
|
833 Wake Forest Business Park Ste F Wake Forest NC 27587-7184 | |
| (919) 368-8839 | |
| Not Available |
| Full Name | Clemons Resiliency & Wellness Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 833 Wake Forest Business Park Ste F, Wake Forest, North Carolina |
| Authorized Official Name and Position | Matthew Antoinne Clemons (OWNER) |
| Authorized Official Contact | 9193066074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clemons Resiliency & Wellness Pllc 1404 The Pines Pl Wake Forest NC 27587-1742 Ph: (919) 306-6074 | Clemons Resiliency & Wellness Pllc 833 Wake Forest Business Park Ste F Wake Forest NC 27587-7184 Ph: (919) 368-8839 |
| NPI Number | 1407623549 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 7911344403 |
|---|---|
| Medicare Enrollment ID | O20240319004138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407623549 | NPI | - | NPPES |
| Provider Name | Matthew Antoinne Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720664113 PECOS PAC ID: 1557779907 Enrollment ID: I20210423000169 |
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