Organization
BLUEWATER PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH POWERS DNP, MSN, PMHNP-BC (OWNER)
(755) 201-2305
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20 STE 313, NICEVILLE, FL 32578-7700
(850) 797-2598
Mailing address
4400 E HIGHWAY 20 STE 313, NICEVILLE, FL 32578-7700
(575) 520-1230
(773) 492-8765
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
10/14/2024
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