Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN MYRON FAIRCLOTH, NP
ActiveMR. JOHN MYRON FAIRCLOTH, NP is a Family Nurse Practitioner healthcare provider located in CRESTVIEW, Florida. NPI 1063543890 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CRESTVIEW, FL
Registration Details
- NPI Number
- 1063543890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.255757545271 yrs)
- Last Updated
- Sep 10, 2020
- Licenses
-
0103219 (GA)ARNP9470257 (FL)
Practice Information
- Address
-
127 E REDSTONE AVE STE CCRESTVIEW, FL, 325395356Browse FL providers · Browse ZIP 32539
- Phone
- 8504230061
- Fax
- 8504239954
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in CRESTVIEW, FL
| Name | Credential | NPI |
|---|---|---|
| MS. TAMARA L MCKELVY | FNP | 1699731687 |
| MRS. LINDA CHERYL FOLEY | ARNP | 1942237458 |
| MR. GLENN R FERNANDES | APRN, BC | 1841356441 |
| DEBORAH LYNNE HEWITT | APRN | 1346412632 |
| MS. PATRICIA BREEDEN ROSS | NURSE PRACTITIONER | 1184935389 |
| KRISTINA SMITH | APRN | 1942502786 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.