Organization · Type 2 NPI

North Okaloosa Clinic Corp

Obstetrics & Gynecology Physician · Crestview, FL

NPI number 1508438615 Active

Practice location

550 Redstone Ave W Ste 470
Crestview, FL 32536-6457

Call (850) 689-2229 Map

Fax (850) 689-2580

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 other providers at this address

Other obstetrics & gynecology physician providers in Crestview

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NPI record

NPI: 1508438615
Entity type: Organization (Type 2)
Issued: Jul 16, 2021
Last updated: Mar 18, 2022
Status: Active

Other names

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North Okaloosa Clinic Corp · doing business as
North Okaloosa Clinic Corp · doing business as
Okaloosa Obgyn · doing business as

Authorized official

Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508438615

North Okaloosa Clinic Corp's National Provider Identifier is 1508438615, issued on Jul 16, 2021. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Crestview, FL. The record was last updated on Mar 18, 2022.