Organization
DAWN RENE', INC.
Active
Other names
Vernon Family Health of Chipley
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN RENE' FROST ARNP-BC (OWNER)
(850) 676-4287
Entity
Organization
Contact information
Practice address
719 7TH ST STE 2, CHIPLEY, FL 32428-1935
(850) 676-4287
(850) 676-4292
Mailing address
719 7TH ST STE 2, CHIPLEY, FL 32428-1935
(850) 676-4287
(850) 676-4292
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
AR2003622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108989
MEDICARE ID-RIVERBEND
FL
01
—
30289900
MEDIPASS
FL
05
—
306088800
—
FL
01
—
Y9052
BC/BS
FL
Enumeration date
05/28/2006
Last updated
11/07/2022
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