Carly Clifton, NP
Nurse Practitioner, Family in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1346021771
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1346021771
- Entity type
- Individual (NPI-1)
- Name
- Carly Clifton
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11027675 | FL | Yes |
Practice location
1034 Mar Walt DrFort Walton Beach, FL 32547-6639
Phone 850-315-9206
Mailing address
202 Sandhill Pines DrSanta Rosa Beach, FL 32459-2642
Phone 239-404-6498
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All 65 Family Nurse Practitioner providers in Fort Walton Beach · All 1,854 providers in Fort Walton Beach
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