Stephenson Clayton, Carol W

Stephenson Clayton, Carol W is an individual health care provider with primary practice located at 618 S Forest Ave , Apopka FL 32703-5338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Stephenson Clayton, Carol W can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
618 S Forest Ave Apopka FL 32703-5338
Phone: (407) 905-8827
Fax: (407) 886-3822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1990612 Florida

Profile Details

NPI number 1356300347
LBN Legal business name Stephenson Clayton, Carol W
Credentials DNS, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 27th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356300347 NPPES
Florida MEDICAID 034703500
Florida Other 380124
Florida Other 01134624

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