Provider Demographics
NPI:1740552439
Name:PEARSON, BOBBIE SUE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:BOBBIE
Middle Name:SUE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9375 EMERALD COAST PKWY W STE 27A
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-7222
Mailing Address - Country:US
Mailing Address - Phone:850-353-2743
Mailing Address - Fax:850-373-4875
Practice Address - Street 1:9375 EMERALD COAST PKWY W STE 27A
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-7222
Practice Address - Country:US
Practice Address - Phone:850-353-2743
Practice Address - Fax:850-373-4875
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007880363LP2300X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care