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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLEY KELLER CLARK, AG-ACNP

Active Sole Proprietor

SHELLEY KELLER CLARK, AG-ACNP is a Acute Care Nurse Practitioner healthcare provider located in PANAMA CITY, Florida. NPI 1376077636 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · PANAMA CITY, FL

Registration Details

NPI Number
1376077636
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2017 (9.3034043999927 yrs)
Last Updated
Mar 27, 2025
Licenses
ARNP9288435 (FL)
ARNP9288435 (FL)
ARNP9288435 (FL)
Sole Proprietor
Yes

Practice Information

Address
2232 W 24TH ST
PANAMA CITY, FL, 324052226
Browse FL providers · Browse ZIP 32405
Phone
8502153024
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in PANAMA CITY, FL

Name Credential NPI
MRS. LACEY DUPUIS DENEAU ARNP 1659700284
MRS. ELIZABETH RUTH DOSS ARNP 1003224346
MATTHEW RUMBOUGH ARNP 1932503109
SHANA MEGHAN WEBB ARNP 1730639725
KATIE M DANIELSON ARNP 1396255410
AUDREY ANN FARR ARNP 1679073431
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.