SOUTHERN PRACTITIONER is a family nurse practitioner in Pensacola, FL. SOUTHERN PRACTITIONER NPI is 1326556200. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
15 W MAXWELL ST
STE 148
PENSACOLA, FL
ZIP 32501-717
Phone: (850) 434-0077
Fax: (850) 434-0220
The provider's authorized official is Jennifer Prince .
The authorized official title is Owner and has the following contact phone number (850) 434-0077.
The CLIA number assigned to this NPI record is 10D1011711 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/13/2018 and was last updated on 3/2/2022.