Organization · Type 2 NPI
Smc2
Family Nurse Practitioner · Panama City, FL
NPI number
1235859646
Active
Practice location
215 W 6th St
Panama City, FL 32401-2645
Fax (850) 769-6673
Mailing address
4832 Long Lake Ridge Dr
Chipley, FL 32428-3670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1235859646
Smc2's National Provider Identifier is 1235859646, issued on Aug 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Panama City, FL. The record was last updated on Aug 29, 2022.