Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Okaloosa Clinic Corp

Organization General Practice Physician · NPI 1154994697

North Okaloosa Clinic Corp is a General Practice Physician in Crestview, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1332 N Ferdon Blvd
Crestview, FL 32536-1749
Phone: (850) 398-8725
Fax: (850) 398-8727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1154994697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Nopg Walk- In Clinic; North Okaloosa Clinic Corp; North Okaloosa Clinic Corp
NPI enumeratedJuly 22, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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