Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shelley Keller Clark, AG-ACNP

Individual provider Adult Health Nurse Practitioner · NPI 1376077636

Shelley Keller Clark, AG-ACNP is a Nurse Practitioner in Panama City, Florida. Qualified in 2016, 10 years ago. Practices with Bay Arthritis Institute, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2232 W 24th St
Panama City, FL 32405-2226
Phone: (850) 215-3024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 449 W 23rd St, Panama City, FL 32405-4507 — (850) 769-8341

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence ARNP9288435 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP9288435 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence ARNP9288435 (FL)

Record details

NPI number1376077636
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Bay Arthritis Institute — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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