SHENNA MICHELLE CLYBURN NPI 1871190157

NPI Information

NPI: 1871190157
Provider Name: SHENNA MICHELLE CLYBURN
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
3112 DELAWARE AVE
FORT PIERCE, FL
ZIP 34947
Phone: (772) 666-0672
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Shenna Michelle Clyburn is an adult day care clinic center in Fort Pierce, FL. Shenna Michelle Clyburn NPI is 1871190157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3112 DELAWARE AVE
FORT PIERCE, FL
ZIP 34947-531
Phone: (772) 666-0672

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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