Ivory, Rebecca Ann

Ivory, Rebecca Ann is an individual health care provider with primary practice located at 128 John King Rd Ste 18 , Crestview FL 32539-5731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ivory, Rebecca Ann can be contacted via phone (850) 347-5457.

Contact Information

Primary practice address
128 John King Rd Ste 18 Crestview FL 32539-5731
Phone: (850) 347-5457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11043135 Florida

Profile Details

NPI number 1568187615
LBN Legal business name Ivory, Rebecca Ann
Credentials DNP, PMHNP-BC, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2022
Last updated Feb 26th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568187615 NPPES
Other TBD TBD

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