| NPI | 1154994697 |
|---|---|
| Doing Business As | NORTH OKALOOSA CLINIC CORP |
| Doing Business As | NOPG WALK- IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-03-18 |