Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Practitioner

Organization Family Nurse Practitioner · NPI 1326556200

Southern Practitioner provides Family Nurse Practitioner services in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

15 W Maxwell St Ste 148
Pensacola, FL 32501-1717
Phone: (850) 434-0077
Fax: (850) 434-0220
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9167682 (FL)

Record details

NPI number1326556200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Prince — Owner · (850) 434-0077
NPI enumeratedJanuary 13, 2018
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address904 N 75th Ave, Pensacola, FL 32506-3820

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