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

P31 Life

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1336819788

P31 Life is a Psychiatric/Mental Health Nurse Practitioner in Niceville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4591 E Highway 20 Ste 202
Niceville, FL 32578-8845
Phone: (850) 299-9943
Fax: (863) 594-1643
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1336819788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dianne Kelly Smith — Owner · (850) 299-9943
NPI enumeratedSeptember 16, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address4516 E Highway 20 # 168, Niceville, FL 32578-9755

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