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

Mrs. Misty Edge, CRPS

Individual provider Peer Specialist · NPI 1619824976

Mrs. Misty Edge, CRPS is a Peer Specialist in Fountain, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

11911 Jasmine St
Fountain, FL 32438-2727
Phone: (850) 451-7294
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CRPS.0101304.A (FL)

Record details

NPI number1619824976
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRPS
Sole proprietorYes
NPI enumeratedMarch 14, 2026
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026