Healthcare Provider Details

I. General information

NPI: 1053287656
Provider Name (Legal Business Name): FELECIA DUKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1587 MAGNOLIA MANOR DR
GULF BREEZE FL
32563-2965
US

IV. Provider business mailing address

1587 MAGNOLIA MANOR DR
GULF BREEZE FL
32563-2965
US

V. Phone/Fax

Practice location:
  • Phone: 256-599-1806
  • Fax:
Mailing address:
  • Phone: 256-599-1806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1174458
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11047922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: