Healthcare Provider Details

I. General information

NPI: 1861983264
Provider Name (Legal Business Name): CLAIRE HEMPHILL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 GULF BREEZE PKWY STE 203
GULF BREEZE FL
32561-7808
US

IV. Provider business mailing address

PO BOX 95590
SOUTH JORDAN UT
84095-0590
US

V. Phone/Fax

Practice location:
  • Phone: 850-916-8700
  • Fax: 850-916-8700
Mailing address:
  • Phone: 801-784-0954
  • Fax: 801-352-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP9303563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: