MARY ANN CLEVENGER NURSE PRACTIONER
NPI 1093443491
Nurse Practitioner - Family in Memphis, TN

Active since August 12, 2022
2643 APPLING GLEN DR, MEMPHIS, TN 38133(901) 849-1722 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ann Clevenger Nurse Practioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN CLEVENGER NURSE PRACTIONER (NPI 1093443491) is an individual family provider in Memphis, Tennessee, licensed in Kentucky (1039114) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1093443491
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ANN CLEVENGERCredential: NURSE PRACTIONER
Location Address2643 APPLING GLEN DRMemphis, TN 38133-5228
Mailing Address2643 Appling Glen DrMemphis, TN 38133-5228 · (901) 849-1722
Sole ProprietorYes
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
NPI 1093443491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 1039114
2643 APPLING GLEN DR, Memphis, TN 38133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Clevenger's NPI number?

The NPI number for Mary Clevenger is 1093443491. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Mary Clevenger located?

Mary Clevenger practices at 2643 Appling Glen Dr, Memphis, TN 38133. The listed phone number is (901) 849-1722.

What is Mary Clevenger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Clevenger was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.