Search › Florida › 363LA2100X
Shelley Keller Clark, AG-ACNP
NPI 1376077636 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2232 W 24th St
Panama City, FL 32405 - Phone
- (850) 215-3024
- Clinicians at this address
- 4
Additional practice sites
- 449 W 23rd St, Panama City, FL
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2200X
363LG0600X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida