John, Wendell Clavonn

John, Wendell Clavonn is an individual health care provider with primary practice located at 2001 S Main St , Wake Forest NC 27587-1612. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. John, Wendell Clavonn can be contacted via phone (919) 562-3155.

Contact Information

Primary practice address
2001 S Main St Wake Forest NC 27587-1612
Phone: (919) 562-3155
Fax: (919) 562-7401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201749 North Carolina

Profile Details

NPI number 1942288790
LBN Legal business name John, Wendell Clavonn
Credentials RN, MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942288790 NPPES
North Carolina Other 201749 NC NURSE PRACTITIONER #
North Carolina Other 170923 NC NURSE PRACTITIONER #

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