Provider Demographics
NPI:1396639100
Name:SPELLMAN, CIERRA JONISE CLEMENTS (CMA (AAMA))
Entity type:Individual
Prefix:MRS
First Name:CIERRA
Middle Name:JONISE CLEMENTS
Last Name:SPELLMAN
Suffix:
Gender:F
Credentials:CMA (AAMA)
Other - Prefix:MS
Other - First Name:CIERRA
Other - Middle Name:JONISE
Other - Last Name:CLEMENTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:196 PONDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-7205
Mailing Address - Country:US
Mailing Address - Phone:336-902-9909
Mailing Address - Fax:336-902-9909
Practice Address - Street 1:200 NORTHVIEW PLZ
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3173
Practice Address - Country:US
Practice Address - Phone:336-818-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2527126247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other