Annette Jennings Caldwell, ARNP

Individual provider Active NPI Primary Care Nurse Practitioner · Greenwood, FL

NPI 1679991129 · NPPES record last updated Apr 2, 2014

Key facts

NPI
1679991129
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
ARNP3177572 (FL)
Practice address
3971 Sylvania Plantation Road
Greenwood, FL 32443-0017
Phone
(850) 594-5503
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP3177572 FL Yes

Addresses

Primary practice location

3971 Sylvania Plantation Road
Greenwood, FL 32443-0017

Mailing address

PO Box 17
Greenwood, FL 32443-0017
Phone (850) 594-5503

Other providers in Greenwood, FL

All providers in Greenwood, FL · Primary Care Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.