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Individual

ANDREA H CLAYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
11812 CRUSSELLE DR, JACKSONVILLE, FL 32223-0876
(904) 252-5265
Mailing address
11812 CRUSSELLE DR, JACKSONVILLE, FL 32223-0876
(904) 252-5265

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN078635 AP01911
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1685607
LA
Enumeration date
07/21/2005
Last updated
02/09/2010
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