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

North Okaloosa Clinic Corp

Organization Family Medicine Physician · NPI 1881363182

North Okaloosa Clinic Corp is a Family Medicine 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.

See every abbreviation used in this directory →

Practice location Address checks out

524 W James Lee Blvd
Crestview, FL 32536-5129
Phone: (850) 398-8725
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881363182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Crestview Primary Care; Crestview Primary Care
NPI enumeratedSeptember 9, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Crestview