Provider Demographics
NPI:1124819206
Name:STAGGS, GEARLYN MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:GEARLYN
Middle Name:MICHELLE
Last Name:STAGGS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 VERANO ST
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-6327
Mailing Address - Country:US
Mailing Address - Phone:850-533-2855
Mailing Address - Fax:850-533-2855
Practice Address - Street 1:350 PENSACOLA BEACH RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4815
Practice Address - Country:US
Practice Address - Phone:850-934-0790
Practice Address - Fax:850-934-0790
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9558108163WP0808X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health