Doctor Name: | MRS. DEENA MICHELLE CLEVENGER |
NPI Number: | 1528489994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, ACNS-BC |
License Number: | S002278 |
Business Practice Address: | 1100 N College Ave Veterans Healthcare Systems Of The Ozarks Fayetteville, AR - 72701 |
Business Phone Number: | 4794434301 |
Business Fax Number: | 4795875818 |
Mailing Address: | 1100 N College Ave, Veterans Healthcare Systems Of The Ozarks FAYETTEVILLE |
State: | AR |
Postal Code: | 72701 |
Phone Number: | 4794434301 |
Fax Number: | 4795875818 |
NPI Enumeration Date: | 01/02/2014 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | S002278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |