Doctor Name: | BILLY SHANNON CLAY |
NPI Number: | 1003155110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | ARNP9414508 |
Business Practice Address: | 6804 Cecelia Dr New Port Richey, FL - 346534935 |
Business Phone Number: | 7272320644 |
Business Fax Number: | 8885460488 |
Mailing Address: | 6804 Cecelia Dr, NEW PORT RICHEY |
State: | FL |
Postal Code: | 346534935 |
Phone Number: | 7272320644 |
Fax Number: | 8885460488 |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | ARNP9414508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |