Southern Practitioner
NPI 1326556200ActiveOrganization· Nurse Practitioner, Family· Pensacola, FL
Nurse Practitioner, Family in Pensacola, Florida, registered in NPPES in January 2018. The authorized official on file is Jennifer Prince, ARNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326556200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2018 |
| Last updated in NPPES | Nov 22, 2022 |
| Certified by provider | Nov 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9167682 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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