Individual
MISS SHELLY CLAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C, FNP
Contact information
Practice address
337 ACADEMY TER, LINDEN, NJ 07036-5601
(201) 500-6992
(833) 605-4359
Mailing address
403 HOLLYWOOD AVE, HILLSIDE, NJ 07205-2715
(973) 760-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00402800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00402800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341151
—
NJ
Enumeration date
11/12/2012
Last updated
04/23/2025
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