Provider Demographics
NPI:1023482155
Name:BABCOCK, DEBRA (ARNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:MACDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4590
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4590
Mailing Address - Country:US
Mailing Address - Phone:352-350-8800
Mailing Address - Fax:352-350-2014
Practice Address - Street 1:1729 DAVID WALKER DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5745
Practice Address - Country:US
Practice Address - Phone:352-508-4455
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9380196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily