Healthcare Provider Details

I. General information

NPI: 1285950774
Provider Name (Legal Business Name): NORA APRIL PEPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 ROBERTS AVE
TALLAHASSEE FL
32310-5007
US

IV. Provider business mailing address

2911 ROBERTS AVE
TALLAHASSEE FL
32310-5007
US

V. Phone/Fax

Practice location:
  • Phone: 850-644-1543
  • Fax: 855-230-7421
Mailing address:
  • Phone: 850-644-1543
  • Fax: 855-230-7421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number164637
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: