Ivey, Deborah

Ivey, Deborah is an individual health care provider with primary practice located at 103 E 23Rd St , Panama City FL 32405-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ivey, Deborah can be contacted via phone (850) 769-0338.

Contact Information

Primary practice address
103 E 23Rd St Panama City FL 32405-4501
Fax: (850) 785-6088
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2637962 Florida

Profile Details

NPI number 1821171190
LBN Legal business name Ivey, Deborah
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821171190 NPPES
Florida MEDICAID 302564100

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