SHELLEY KELLER CLARK

PANAMA CITY, FL
NPI1376077636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  ARNP9288435)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP9288435)
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  ARNP9288435)
Enumeration Date2017-04-13
Last Update Date2021-08-24
Business Address
SHELLEY KELLER CLARK AG-ACNP
615 N BONITA AVE
PANAMA CITY, FL 32401-3623
Phone number: 850-294-1282
Mailing Address
SHELLEY KELLER CLARK AG-ACNP
8510 N LAGOON DR
PANAMA CITY BEACH, FL 32408-4518
Phone number: 850-294-1282