Healthcare Provider Details

I. General information

NPI: 1518941046
Provider Name (Legal Business Name): NANCY ELIZABETH MARKOVICH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E WASHINGTON ST
MONTICELLO FL
32344-1950
US

IV. Provider business mailing address

866 CASA BIANCA RD
MONTICELLO FL
32344-6123
US

V. Phone/Fax

Practice location:
  • Phone: 850-294-3378
  • Fax: 850-493-9304
Mailing address:
  • Phone: 850-294-3378
  • Fax: 850-493-9304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 81366-2
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: