person
Elaine Peacock
Family Nurse Practitioner in Niceville, Florida
NPI 1053709451

Elaine Peacock is a Family Nurse Practitioner based in Niceville, FL and is specialized in Family. Elaine Peacock practices in Niceville, FL. The NPI Number for Elaine Peacock is 1053709451 and holds a License No. 02282 (Florida).

The current practice location address for Elaine Peacock is 4562 E Highway 20, Niceville, FL and can be reached out via phone at 850-897-8550.

Location: 4562 E Highway 20, Niceville, FL, 32578-8831
person
Provider Profile Details
NPI Number
1053709451
Provider Name
Elaine Peacock
Credential
Provider Entity Type
Individual
Gender
Female
Address
4562 E Highway 20, Niceville, FL, 32578-8831
Phone Number
850-897-8550
Fax Number
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPI & TIN 01 NM BCBS OF NM
21528365 05 NM
institution
Provider Business Practice Location Address Details
Address
4562 E Highway 20
City
State
Zip
32578-8831
Phone Number
850-897-8550
Fax Number
person
Provider Business Mailing Address Details
Address
4562 E Highway 20
City
State
Zip
32578-8831
Phone Number
850-897-8550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
02282 (New Mexico)
Definition
Definition to come...
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