Doctor Name: | MISS JO ANN CLAY |
NPI Number: | 1003843277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CNS, APN |
License Number: | RN 05 3165 |
Business Practice Address: | 680 Hogan Ln Conway, AR - 720348131 |
Business Phone Number: | 5015058900 |
Business Fax Number: | 5015058901 |
Mailing Address: | 680 Hogan Ln, CONWAY |
State: | AR |
Postal Code: | 720348131 |
Phone Number: | 5015058900 |
Fax Number: | 5015058901 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN 05 3165 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |