Doctor Name: | DR. BARBARA ANN MCDERMID |
NPI Number: | 1730219254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, ARNP, LCSW |
License Number: | ARNP 9203658 |
Business Practice Address: | 2475 Garrison Ave Port St Joe, FL - 324565265 |
Business Phone Number: | 8502271276 |
Business Fax Number: | 8502271766 |
Mailing Address: | 2475 Garrison Ave, PORT ST JOE |
State: | FL |
Postal Code: | 324565265 |
Phone Number: | 8502271276 |
Fax Number: | 8502271766 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | ARNP 9203658 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |