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

The Southern Practitioner Group

Organization Family Nurse Practitioner · NPI 1063389377

The Southern Practitioner Group is a Family Nurse Practitioner in Pensacola, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2244 Berrydale Rd
Pensacola, FL 32534-9525
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

Record details

NPI number1063389377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Prince — Aprn/Owner · (850) 434-0077
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 101, Gonzalez, FL 32560-0101

Other providers in Pensacola