Provider Demographics
NPI:1588026199
Name:CLAYTON, JOANNA
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7675 HIDDEN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:DE
Mailing Address - Zip Code:19950-7925
Mailing Address - Country:US
Mailing Address - Phone:302-236-0222
Mailing Address - Fax:
Practice Address - Street 1:21748 ROTH AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-3239
Practice Address - Country:US
Practice Address - Phone:800-461-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0035324163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse