Organization · Type 2 NPI

Emerald Waters Medical Clinic LLC

Nurse Practitioner · Niceville, FL

NPI number 1306192216 Active

Practice location

1005 College Blvd W, Suite B
Niceville, FL 32578-1060

Fax (850) 279-6817

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XARNP3114742 (FL)
Primary Care Nurse Practitioner 363LP2300XNone listed
Women's Health Nurse Practitioner 363LW0102XARNP3114742 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

About NPI 1306192216

Emerald Waters Medical Clinic LLC's National Provider Identifier is 1306192216, issued on Jul 28, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Niceville, FL. The record was last updated on Aug 3, 2022.