Clay, Billy Shannon
Clay, Billy Shannon is an individual health care provider with primary practice located at 6804 Cecelia Dr , New Port Richey FL 34653-4935. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Clay, Billy Shannon can be contacted via phone (727) 232-0644.Contact Information
Primary practice address
6804 Cecelia Dr
New Port Richey FL 34653-4935
Phone: (727) 232-0644
Fax: (888) 546-0488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP9414508 | Florida |
Profile Details
| NPI number | 1003155110 |
|---|---|
| LBN Legal business name | Clay, Billy Shannon |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2013 |
| Last updated | Apr 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003155110 | NPPES |
| Florida | Other | ARNP 9414508 | FL ARNP LICENSE |
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