Provider Demographics
NPI:1376524041
Name:PEARCE, GINA-MARIE (CNM ARNP)
Entity Type:Individual
Prefix:
First Name:GINA-MARIE
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:CNM ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 N DAVIS HWY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6050
Mailing Address - Country:US
Mailing Address - Phone:850-969-2038
Mailing Address - Fax:850-969-2037
Practice Address - Street 1:8333 N DAVIS HWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6050
Practice Address - Country:US
Practice Address - Phone:850-969-2038
Practice Address - Fax:850-969-2037
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9203770363LX0001X
FLARNP9203770367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY030BOtherBCFL
FL340383100Medicaid
FL340383100Medicaid
FLY030BXMedicare PIN