Individual
CHERRICE CLAY-AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4284 KELSON AVE, MARIANNA, FL 32446-2948
(850) 482-2910
(850) 526-2138
Mailing address
4284 KELSON AVE, MARIANNA, FL 32446-2948
(850) 482-2910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN160625
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN11022174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN160625
GA LICENSE NUMBER
GA
Enumeration date
10/05/2012
Last updated
02/27/2024
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