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Organization
THE SOUTHERN PRACTITIONER GROUP
Active
Organization
THE SOUTHERN PRACTITIONER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M PRINCE APRN (APRN/OWNER)
(850) 434-0077
Entity
Organization
Contact information
Practice address
2244 BERRYDALE RD, PENSACOLA, FL 32534-9525
(850) 434-0077
(850) 434-0220
Mailing address
PO BOX 101, GONZALEZ, FL 32560-0101
(850) 434-0077
(850) 434-0220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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