Individual
AYANA CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4116
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903438
MS
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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