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THE SOUTHERN PRACTITIONER GROUP
NPI 1063389377
Nurse Practitioner - Family in Pensacola, FL

Active since October 21, 2025
2244 BERRYDALE RD, PENSACOLA, FL 32534(850) 434-0077(850) 434-0220 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Southern Practitioner Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOUTHERN PRACTITIONER GROUP (NPI 1063389377) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since October 2025. The organization lists Jennifer M Prince, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1063389377
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE SOUTHERN PRACTITIONER GROUP
Location Address2244 BERRYDALE RDPensacola, FL 32534-9525
Mailing AddressPo Box 101Gonzalez, FL 32560-0101 · (850) 434-0077 · Fax (850) 434-0220
Phone(850) 434-0077
Fax(850) 434-0220
Organization SubpartNo
Authorized OfficialJennifer M PrinceAprn/owner · (850) 434-0077
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1063389377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2244 BERRYDALE RD, Pensacola, FL 32534
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Southern Practitioner Group's NPI number?

The NPI number for The Southern Practitioner Group is 1063389377. It was assigned to this organization in the NPPES registry on October 21, 2025.

Where is The Southern Practitioner Group located?

The Southern Practitioner Group is located at 2244 Berrydale Rd, Pensacola, FL 32534. The listed phone number is (850) 434-0077.

What is The Southern Practitioner Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Southern Practitioner Group was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.