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Individual

DUSTIN MARSHALL CLAYTON

Active
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Individual

DUSTIN MARSHALL CLAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25411
TN
363LF0000X
Family Nurse Practitioner
Primary
348868
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25411
TN
Enumeration date
01/18/2019
Last updated
04/13/2022
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