Provider Demographics
NPI:1114816923
Name:CLAY, ROXANNA (RN)
Entity type:Individual
Prefix:
First Name:ROXANNA
Middle Name:
Last Name:CLAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROXANNA
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4413 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8524
Mailing Address - Country:US
Mailing Address - Phone:317-450-5850
Mailing Address - Fax:
Practice Address - Street 1:4413 ALLEN DR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-8524
Practice Address - Country:US
Practice Address - Phone:317-450-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28279976C163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health