Marie Alexandra Clincy, NP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

5021270 Issued in NC

Practice address

1235 Ramsey St
Fayetteville, NC 28301-4401

Phone

(910) 433-3700

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1205642816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BARONS RUN E",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283907012",
            "telephone_number": "520-220-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-433-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINCY",
        "first_name": "MARIE",
        "middle_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "327695",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5021270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maudeline Clervoix-Frank, LCMHCA, LCASA
• Jeb Cleveland
• Kiara Cleveland
• Theresita T Cliett
• Amanda Clifton
• Dorothy Jacobyansky Cline
• Elizabeth G Cline, CCC-SLP
• Clinical Counseling and Consulting Services, PLLC
• Clinical Services Associates, LLC
• Robert Allen Clinton Jr., M.D.

• Community Health Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.