Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 5010762 | NC |
NPI | 1013494012 |
---|---|
Provider Name | Danielle Pipher Clement |
First Address | Durham, NC 27701-3241 |
Second Address | Durham, NC 27701-3241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2018 |
Last Update Date | 23/07/2018 |