Individual provider · NPI-1

Bobbi Amber Scruggs, CPNP-PC

Nurse Practitioner, Pediatrics · Panama City, FL

NPI number1316699713
StatusActive
Last updated in NPPESJan 26, 2022

Details

NPI
1316699713
Entity type
Individual (NPI-1)
Name
Bobbi Amber Scruggs
Credential
CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2022
Certification date
Jan 17, 2022
Last updated
Jan 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics11017746FLYes

Other names

  • Amber Scruggs (Professional Name)

Practice location

621 W Baldwin Rd
Panama City, FL 32405-3364

Phone 850-747-3661

Mailing address

1205 Massachusetts Ave
Lynn Haven, FL 32444-2133

Phone 850-832-4479

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