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Individual
BILLY SHANNON CLAY
Active
Individual
BILLY SHANNON CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9414508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP 9414508
FL ARNP LICENSE
FL
Enumeration date
02/08/2013
Last updated
04/15/2016
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