IndividualActive
Carolyn Clevenger, N.P.
NPI 1255547907 · Gerontology Nurse Practitioner · Atlanta, GA
Provider details
- NPI number
- 1255547907
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- RN153941 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12 Executive Park Dr Ne
Suite 504
Atlanta, GA 30329-2206
Phone: (404) 778-3444
Approximate (ZIP-level) locationGet directions
Mailing address
1152 Albemarle Way
Lawrenceville, GA 30044-8142
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2015-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.