Individual
DR. REBECCA ANN IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, ARNP
Contact information
Practice address
128 JOHN KING RD STE 18, CRESTVIEW, FL 32539-5731
(850) 347-5457
Mailing address
118 HADDON RD, ANACORTES, WA 98221-4492
(760) 846-8746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61358685
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11043135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
TBD
—
Enumeration date
10/10/2022
Last updated
02/26/2026
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