Provider Demographics
NPI:1902310386
Name:CLEMMONS, DANIKA (NP)
Entity Type:Individual
Prefix:
First Name:DANIKA
Middle Name:
Last Name:CLEMMONS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1101 SAM PERRY BLVD
Mailing Address - Street 2:STE 411
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4466
Mailing Address - Country:US
Mailing Address - Phone:540-741-7846
Mailing Address - Fax:540-741-1632
Practice Address - Street 1:9408 WILLOW GROVE PL
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-9273
Practice Address - Country:US
Practice Address - Phone:180-439-7168
Practice Address - Fax:804-397-1680
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2020-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024175602363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner