IndividualActive
Connie Killam, APRN
NPI 1033427406 · Women's Health Nurse Practitioner · Crestview, FL
Provider details
- NPI number
- 1033427406
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN2623762 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
596 N Ferdon Blvd
Crestview, FL 32536-2753
Phone: (850) 306-3268
Fax: (850) 398-5029
Approximate (ZIP-level) locationGet directions
Mailing address
596 N Ferdon Blvd
Crestview, FL 32536-2753
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.