Organization
PRN OF NW FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C CHANEY JR. ARNP (OWNER)
(850) 916-0788
Entity
Organization
Contact information
Practice address
2 SUGAR BOWL LANE, PENSACOLA, FL 32561
(850) 723-6271
(850) 916-0788
Mailing address
P.O. BOX 244, GONZELEZ, FL 32560
(850) 723-6271
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
ARNP 2210632
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2210632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302818600
—
FL
Enumeration date
12/11/2006
Last updated
06/25/2014
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