person
Wendell Clavonn John, RN,MSN,FNP-C
Family Nurse Practitioner in Wake Forest, North Carolina
NPI 1942288790

Wendell Clavonn John is a Family Nurse Practitioner based in Wake Forest, NC and is specialized in Family. Wendell Clavonn John practices in Wake Forest, NC and has the professional credentials of RN,MSN,FNP-C. The NPI Number for Wendell Clavonn John is 1942288790 and holds a License No. 201749 (North Carolina).

The current practice location address for Wendell Clavonn John is 2001 S Main St, Wake Forest, NC and can be reached out via phone at 919-562-3155 and via fax at 919-562-7401.

Location: 2001 S Main St, Wake Forest, NC, 27587-1612
person
Provider Profile Details
NPI Number
1942288790
Provider Name
Wendell Clavonn John
Credential
RN,MSN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
2001 S Main St, Wake Forest, NC, 27587-1612
Phone Number
919-562-3155
Fax Number
919-562-7401
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201749 01 NC NC NURSE PRACTITIONER #
170923 01 NC NC NURSING LICENSE #
institution
Provider Business Practice Location Address Details
Address
2001 S Main St
City
State
Zip
27587-1612
Phone Number
919-562-3155
Fax Number
919-562-7401
person
Provider Business Mailing Address Details
Address
2001 S Main St
City
State
Zip
27587-1612
Phone Number
919-562-3155
Fax Number
919-562-7401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201749 (North Carolina)
Definition
Definition to come...
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