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Contact Information

JORDAN N PEACOCK, PHYSICIAN ASSISTANT
1110 AIRPORT BLVD
SUITE B
PENSACOLA, FL32504
 Phone: 850-438-1136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JORDAN N PEACOCK · (Male)

NPI Number 1033628326
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 09/29/2017
Last updated 08/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AL License # PA-1279
  • FL License # PA9111816
Hospital affiliation(s)
  • BAPTIST HOSPITAL - (Acute Care)
    1000 W MORENO ST
    PENSACOLA, FL 32501
  • GULF BREEZE HOSPITAL - (Acute Care)
    1110 GULF BREEZE PKWY
    GULF BREEZE, FL 32561
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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