MRS. SUSAN WOOLLEN ELDRIDGE PNP
NPI 1598034886
Nurse Practitioner - Pediatrics in Panama City, FL
Active since December 15, 2011
About Mrs. Susan Woollen Eldridge Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN WOOLLEN ELDRIDGE PNP (NPI 1598034886) is an individual pediatrics provider in Panama City, Florida, licensed in Florida (11024569) and active in the NPI registry since December 2011.
NPPES Registry Identity
NPI1598034886
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. SUSAN WOOLLEN ELDRIDGECredential: PNP
Location Address2550 JENKS AVEPanama City, FL 32405-4310
Mailing Address2550 Jenks AvePanama City, FL 32405-4310 · (850) 522-1522 · Fax (850) 522-5925
Phone(850) 522-1522
Fax(850) 522-5925
Sole ProprietorNo
Enumeration DateDecember 15, 2011
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1598034886 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · 11024569
2550 JENKS AVE, Panama City, FL 32405
Other Names 1
Former Name (1)Mrs. Susan Woollen Figueroa Pnp
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598034886, enumerated as an "individual" on December 15, 2011.
The provider is located at 2550 JENKS AVE PANAMA CITY, FL 32405 and the phone number is (850) 522-1522.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
