Individual provider · NPI-1

Susan Woollen Eldridge, PNP

Nurse Practitioner, Pediatrics · Panama City, FL

NPI number1598034886
StatusActive
Last updated in NPPESMay 20, 2024

Details

NPI
1598034886
Entity type
Individual (NPI-1)
Name
Mrs. Susan Woollen Eldridge
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2011
Certification date
May 20, 2024
Last updated
May 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics11024569FLYes

Other names

  • Susan Woollen Figueroa (Former Name)

Practice location

2550 Jenks Ave
Panama City, FL 32405-4310

Phone 850-522-1522 · Fax 850-522-5925

Mailing address

2550 Jenks Ave
Panama City, FL 32405-4310

Phone 850-522-1522 · Fax 850-522-5925

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