Individual
MRS. KYLIE MICHELLE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4100 W UNIVERSITY DR, PROSPER, TX 75078-3123
(945) 204-4100
(682) 885-1903
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1052833
TX
363LP0200X
Pediatric Nurse Practitioner
1052833
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
1052833
TX
Other
Enumeration date
10/20/2021
Last updated
05/22/2023
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