Individual provider · NPI-1

Ashleigh Blakely, MSN, APRN, FNP-C

Nurse Practitioner, Family · Crestview, FL

NPI number1003603986
StatusActive
Last updated in NPPESApr 23, 2025

Details

NPI
1003603986
Entity type
Individual (NPI-1)
Name
Ashleigh Blakely
Credential
MSN, APRN, FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2025
Certification date
Apr 15, 2025
Last updated
Apr 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11039037FLYes

Practice location

151 E Redstone Ave
Crestview, FL 32539-5352

Phone 850-689-8100

Mailing address

210 Brook Ct
Niceville, FL 32578-3911

Phone 850-736-5536

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