The Southern Practitioner Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE SOUTHERN PRACTITIONER GROUP

Practice address

2244 Berrydale Rd
Pensacola, FL 32534-9525

Phone

(850) 434-0077

Fax

(850) 434-0220

NPI assigned

Oct 21, 2025

Last updated

Oct 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer M Prince, APRNNPI 1699134916

Title

Aprn/Owner

Phone

(850) 434-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Prince

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1699134916
  Medicare reassignment NPD Authorized official
• Ladonna Dapremont, ARNP

  • Gerontology Nurse Practitioner
  • Pensacola, FL
  • NPI 1497251003
  NPD
• Edward Scott Morrison, DO

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1679525430
  NPD
• Williams Whibbs, M.D.

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1730195405
  NPD
• Jacqueline Desiree Gagnon

  • Gerontology Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1952950040
  NPD (past)
• Jennifer A Kimbro, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1801350848

  Family

  NPD (past)
• Ryan Shelton

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1356805394

  Single Specialty

  NPD (past)
• Jennifer Blanche Shue, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1184212193
  NPD (past)
• Amy Boulton Skonecki, APRN

  • Gerontology Nurse Practitioner
  • Pensacola, FL
  • NPI 1710610852
  NPD (past)
• Christine M Thompson, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1437872728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1063389377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "GONZALEZ",
            "state": "FL",
            "postal_code": "325600101",
            "telephone_number": "850-434-0077",
            "fax_number": "850-434-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BERRYDALE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349525",
            "telephone_number": "850-434-0077",
            "fax_number": "850-434-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTHERN PRACTITIONER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "850-434-0077",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.