Individual
SANDRA DENISE PERCY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 745-5111
(850) 745-5222
Mailing address
778 CASON CIR, PANAMA CITY, FL 32405-6471
(754) 368-0069
(850) 745-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9454129
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012976
FL
Other
Enumeration date
07/21/2020
Last updated
10/08/2025
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