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Individual
ROSHUNYA SHAVON CLARK
Active
Individual
ROSHUNYA SHAVON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN9214368
FL
363L00000X
Nurse Practitioner
Primary
APRN9214368
FL
363LA2200X
Adult Health Nurse Practitioner
RN9214368
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9214368
FL
Other
Enumeration date
01/20/2017
Last updated
11/15/2023
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