Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nichole Lowery Clontz, AGNP

Individual provider Nurse Practitioner · NPI 1912653742

Mrs. Nichole Lowery Clontz, AGNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Medical Plaza Family and Geriatric Physicians PA, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

2616 E 5th St
Charlotte, NC 28204-4343
Phone: (704) 333-5165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015868 (NC)

Record details

NPI number1912653742
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medical Plaza Family And Geriatric Physicians Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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