# SELF EXPRESSIONS NURSING SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Self Expressions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558414649
- **Authorized official:** MRS. DONNA K SELF (CEO)
- **Authorized official phone:** (850) 651-4500

## Contact information

- **Practice address:** 1 SHERWOOD DR, SHALIMAR, FL 32579-1023
- **Practice address phone:** (850) 651-4500
- **Practice address fax:** (850) 651-4504
- **Mailing address:** 1 SHERWOOD DR, SHALIMAR, FL 32579-1023
- **Mailing address phone:** (850) 651-4500
- **Mailing address fax:** (850) 651-4504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 260000400952 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020
