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North Okaloosa Clinic Corp

Obstetrics & Gynecology Physician in Crestview, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508438615

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Registry record

Entity type Organization (Type 2)
Legal business name North Okaloosa Clinic Corp
Other name <Unavail>
Practice address 550 Redstone Ave W Ste 470, Crestview, FL, 32536
Phone (850) 689-2229
Fax (850) 689-2580
Enumeration date Jul 16, 2021
Last updated in NPPES Mar 18, 2022

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
273693411 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for North Okaloosa Clinic Corp?
NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.
What is the NPI number for North Okaloosa Clinic Corp?
The NPI for North Okaloosa Clinic Corp is 1508438615, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-18.