Individual provider · Type 1 NPI

Samantha Ervin, APRN

Psychiatric/Mental Health Nurse Practitioner · Fort Walton Beach, FL

NPI number 1659962363 Active

Practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

2651 Pleasant Valley Dr
Cantonment, FL 32533-5719

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11011308 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1659962363

Samantha Ervin, APRN's National Provider Identifier is 1659962363, issued on Jan 27, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jan 27, 2021.