Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Okaloosa Clinic Corp

Organization Family Medicine Physician · NPI 1881363182

North Okaloosa Clinic Corp provides Family Medicine Physician services in Crestview, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

524 W James Lee Blvd
Crestview, FL 32536-5129
Phone: (850) 398-8725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881363182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Crestview Primary Care; Crestview Primary Care
NPI enumeratedSeptember 9, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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