MR. John Myron Faircloth, NP

NPI #1063543890 in Crestview, Florida

Provider Information

NPI Number
1063543890
Entity Type
Individual
Name
MR. John Myron Faircloth, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Mar 7, 2007
Last Updated
Sep 10, 2020

Practice Location

Address
127 E REDSTONE AVE STE C
State
Florida
ZIP Code
32539-5356
Phone
(850) 423-0061

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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