Jennifer Culbertson Driscoll, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME114018 Issued in FL

Practice address

1717 N E St Ste 222
Pensacola, FL 32501-6339

Phone

(850) 437-8637

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Physician Enterprise LLC

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1477860245
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457321994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567",
            "telephone_number": "850-437-8637",
            "fax_number": "850-437-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 222",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-437-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Avery St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011907",
            "country_code": "US",
            "telephone_number": "850-437-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Avery St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011907",
            "country_code": "US",
            "telephone_number": "850-437-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "JENNIFER",
        "middle_name": "CULBERTSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008044300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBFL",
            "identifier": "14NE8A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Gene Terrezza,O.D. & Associates,P.a.
• Candace Marie Drake Cardin, PSY.D.
• Annelle Langford Drake, PHARMD
• Carson Drake
• Charles Drew, MD
• Nikki Drizin, PHARMD
• Drock Wellnes LLC (D'rock Wellness)
• Drock Wellness
• DRS Carlson, Hollis, & Terrezza and Associates, Inc
• DRS Rickoff and Rickoff

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.