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Individual

JOHN GLENN CLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
399 DIEDERICH BLVD, ASHLAND, KY 41101-7007
(606) 324-2055
(606) 324-3808
Mailing address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
(757) 953-8481

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002990
KY
363L00000X
Nurse Practitioner
APRN.CNP.05468
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2356034
OH
05
78003639
KY
Enumeration date
10/11/2006
Last updated
12/02/2022
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