Organization
NORTH OKALOOSA CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
330 FRANKLIN RD, BRENTWOOD, TN 37027-3280
(615) 309-3300
(615) 309-3338
Mailing address
330 FRANKLIN RD, BRENTWOOD, TN 37027-3280
(615) 309-3300
(615) 309-3338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
05/27/2005
Last updated
07/21/2022
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