Healthcare Provider Details
I. General information
NPI: 1275453615
Provider Name (Legal Business Name): NURSESPRING OF NORTHERN FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3380 CAPITAL CIR NE
TALLAHASSEE FL
32308-3710
US
IV. Provider business mailing address
5500 N DAVIS HWY
PENSACOLA FL
32503-2009
US
V. Phone/Fax
- Phone: 850-222-1350
- Fax: 850-222-1380
- Phone: 850-222-1350
- Fax: 850-222-1380
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
M
JASON
Title or Position: PRESIDENT
Credential:
Phone: 850-479-8620