Individual
MR. CLAYTON HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP, FNP-C
Contact information
Practice address
210 WESTWOOD PL STE 110, BRENTWOOD, TN 37027-7554
(615) 206-2462
(833) 983-2043
Mailing address
5513 SAINT ELMO AVE, CHATTANOOGA, TN 37409-2312
(615) 400-5959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177179
TN
363LA2100X
Acute Care Nurse Practitioner
17258
TN
363LF0000X
Family Nurse Practitioner
Primary
ARNP9418956
FL
Other
Enumeration date
06/18/2013
Last updated
07/25/2022
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