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

Elise Fredeking, NP-C

Individual provider Nurse Practitioner · NPI 1669028759

Elise Fredeking, NP-C is a Nurse Practitioner in Panama City, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2100 State Ave
Panama City, FL 32405-4587
Phone: (850) 763-0036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11003617 (FL)

Record details

NPI number1669028759
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address2100 State Ave, Panama City, FL 32405-4587

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