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Individual

DR. CAROL W STEPHENSON CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNS, CPNP

Contact information

Practice address
618 S FOREST AVE, APOPKA, FL 32703-5338
(407) 905-8827
(407) 886-3822
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8998

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1990612
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01134624
AMERIGROUP
FL
05
034703500
FL
01
380124
WELLCARE
FL
Enumeration date
03/20/2006
Last updated
08/27/2020
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