NPI Code Details Logo

NPI 1235026873

NPI 1235026873 : KACI MICHELLE WARD PMHNP : PENSACOLA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235026873
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KACI MICHELLE WARD PMHNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/18/2025
-----------------------------------------------------
    Last Update Date     |    06/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3810 WEATHERSTONE CIR 
-----------------------------------------------------
    City                 |    PENSACOLA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32507-1422
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-492-3945
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3810 WEATHERSTONE CIR 
-----------------------------------------------------
    City                 |    PENSACOLA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32507-1422
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-492-3945
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11038837
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.