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Individual

BILLY SHANNON CLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Mailing address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488

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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