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

Southern Practitioner

Organization Family Nurse Practitioner · NPI 1326556200

Southern Practitioner is a Family Nurse Practitioner 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

Other providers in Pensacola