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NORTH OKALOOSA CLINIC CORP
NPI 1154994697
General Practice in Crestview, FL

Active since July 22, 2021
1332 N FERDON BLVD, CRESTVIEW, FL 32536(850) 398-8725(850) 398-8727 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About North Okaloosa Clinic Corp NPPES

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

NORTH OKALOOSA CLINIC CORP (NPI 1154994697) is a healthcare organization registered as a general practice in Crestview, Florida and active in the NPI registry since July 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1154994697
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTH OKALOOSA CLINIC CORP
Location Address1332 N FERDON BLVDCrestview, FL 32536-1749
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 398-8725
Fax(850) 398-8727
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJuly 22, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1154994697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1332 N FERDON BLVD, Crestview, FL 32536
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Other Names 2

Doing Business AsNorth Okaloosa Clinic Corp
Doing Business AsNopg Walk- In Clinic

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE MARIE LAKES FNP-C
Nurse Practitioner (Family)
1332 N FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 346-1936
MR. CAMERON YORDON HAS
Hearing Instrument Specialist
1332 N FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 683-8777
MS. TAMARA L MCKELVY FNP
Nurse Practitioner (Family)
1332 N FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 634-6193

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 North Okaloosa Clinic Corp's NPI number?

The NPI number for North Okaloosa Clinic Corp is 1154994697. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is doing business as NOPG Walk- In Clinic.

Where is North Okaloosa Clinic Corp located?

North Okaloosa Clinic Corp is located at 1332 N Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 398-8725.

What is North Okaloosa Clinic Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for North Okaloosa Clinic Corp was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.