Healthcare Provider Details

I. General information

NPI: 1588290894
Provider Name (Legal Business Name): CLEMENTINE SEKYERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLEMENTINE AKPOR-MENSAH

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 E CLAY ST
RICHMOND VA
23298-5071
US

IV. Provider business mailing address

606 BANCROFT AVE
RICHMOND VA
23222-2811
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9000
  • Fax: 484-328-6470
Mailing address:
  • Phone: 804-828-9000
  • Fax: 484-328-6470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024177324
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024177324
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: