Keller Clark, Shelley

Keller Clark, Shelley is an sole proprietor health care provider with primary practice located at 615 N Bonita Ave , Panama City FL 32401-3623. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Keller Clark, Shelley can be contacted via phone (850) 294-1282.

Contact Information

Primary practice address
615 N Bonita Ave Panama City FL 32401-3623
Phone: (850) 294-1282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9288435 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9288435 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9288435 Florida

Profile Details

NPI number 1376077636
LBN Legal business name Keller Clark, Shelley
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2017
Last updated Aug 24th, 2021 - about 4 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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