Individual provider · Type 1 NPI

Deborah K. Peacock, APRN

Nurse Practitioner · Fernandina Beach, FL

NPI number 1457933012 Active

Practice location

1210 Vintage Way
Fernandina Beach, FL 32034-0299

Fax (904) 390-7477

Mailing address

PO Box 746638
Atlanta, GA 30374-6638

Other practice locations

  • 1888 S 14th St, Fernandina Beach, FL 32034-3054 · (904) 261-0922

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11012820 (FL)
Nurse Practitioner Primary 363L00000XAPRN11012820 (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…

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About NPI 1457933012

Deborah K. Peacock, APRN's National Provider Identifier is 1457933012, issued on Apr 23, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fernandina Beach, FL. The record was last updated on Dec 15, 2025.