NADINE SUE PEARISH


Address: 1906 Anna Lauren Dr, Southport, FL 32409-3567
Phone: 8505961149

NADINE SUE PEARISH (NPI# 1215574025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215574025
Entity Type Individual
Full Name NADINE SUE PEARISH
Credential ARNP
Practice Address 1906 Anna Lauren Dr
Southport
FL 32409-3567
Practice Telephone 8505961149
Mailing Telephone 8505961149
Enumeration Date 2019-12-01
Last Update Date 2019-12-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11002812 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1906 ANNA LAUREN DR
City SOUTHPORT
State FL
Zip Code 32409-3567

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NPI Name Taxonomy Address Enumeration
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1811154784 Regina A Shirley Nurse's Aide 8822 Jeffery Rd, Southport, FL 32409-1885 2008-05-19
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1427269836 Kathryn Mcgrath Counselor 13117 White Western Springs Rd, Southport, FL 32409-3557 2007-05-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1184281982 Jason Glenn Boutwell Nurse Practitioner 7120 Caraway Ln, Southport, FL 32409-1605 2019-05-28
1649736653 Sherrie Gray Cass Nurse Practitioner 3960 Executive Park Blvd Ste 600, Southport, NC 28461-8185 2019-02-14
1245552595 Dora Connelly Loflin Nurse Practitioner 4705 Southport Supply Rd Se, Southport, NC 28461-9074 2010-02-26
1861956104 Kristin Elizabeth Johnston Nurse Practitioner 4734 Long Beach Rd Se, Southport, NC 28461-8721 2019-01-30
1194266023 Amanda Dewitt Reynolds Nurse Practitioner 4222 Long Beach Rd Se, Southport, NC 28461-8627 2017-03-10

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Competitor

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City SOUTHPORT
Zip Code 32409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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