DAVIECE NICKEE CLEMENT


Address: 0 E 4th St Ste 14b, Richmond, VA 23224-4202
Phone: 8046089453

DAVIECE NICKEE CLEMENT (NPI# 1558924696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558924696
Entity Type Individual
Full Name DAVIECE NICKEE CLEMENT
Credential HAIR LOSS SPECIALIST
Practice Address 0 E 4th St Ste 14b
Richmond
VA 23224-4202
Practice Telephone 8046089453
Mailing Telephone 8046089453
Enumeration Date 2019-04-15
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
1204020181 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA VA STATE CORPORATION COMMISSION S4080405-5 01

Office Location

Street Address 0 E 4TH ST STE 14B
City RICHMOND
State VA
Zip Code 23224-4202

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760094445 Constance Leake Specialist 2841 Martin Luther King Jr Ave, Richmond, CA 94804-4021 2020-08-23
1518424571 Luise Farmer Specialist 914 N Boulevard, Richmond, VA 23230-4802 2019-02-26
1811230485 Tamara W Johnson Specialist 5942 Brook Rd, Richmond, VA 23227-2258 2013-04-02
1871716159 Trudy Eunice Krieger Specialist 2919 E East Solon Rd, Richmond, IL 60071-9675 2007-04-11
1972160059 John Patrick Jacobs Specialist 1201 Broad Rock Blvd, Richmond, VA 23249-4915 2019-05-23
1477909109 Robert Mcgillis Specialist 1201 Broad Rock Blvd, Richmond, VA 23249-0001 2016-05-12
1235382847 Cheryl Leigh Hensel-smith Specialist 1201 Broad Rock Blvd, Richmond, VA 23249-0001 2008-10-28
1023298429 Trudy's Boutique Inc Specialist 2919 E East Solon Rd, Richmond, IL 60071-9675 2007-11-14
1922181882 Brian Keith Demain Specialist 2970 Hilltop Mall Rd, Suite 104, Richmond, CA 94806-1947 2006-10-23
1659454510 Howard Eugene Davis Specialist 2970 Hilltop Mall Rd, Suite 104, Richmond, CA 94806-1947 2006-10-23
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Competitor

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City RICHMOND
Zip Code 23224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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