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

North Okaloosa Clinic Corp

Organization Obstetrics & Gynecology Physician · NPI 1508438615

North Okaloosa Clinic Corp is an Obstetrics & Gynecology Physician in Crestview, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

550 Redstone Ave W Ste 470
Crestview, FL 32536-6457
Phone: (850) 689-2229
Fax: (850) 689-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1508438615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names North Okaloosa Clinic Corp; North Okaloosa Clinic Corp; Okaloosa Obgyn
NPI enumeratedJuly 16, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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