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Individual

JASMINE ALINE CLAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1170 FORTUNE BLVD, SHILOH, IL 62269-7358
(618) 997-5266
(833) 431-2272
Mailing address
1170 FORTUNE BLVD, SHILOH, IL 62269-7358
(618) 997-5266
(833) 431-2272

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029670
IL

Other

Enumeration date
05/06/2024
Last updated
08/28/2024
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