Elyse Anne Blackston, NP
Nurse Practitioner, Family in Marietta, OH. Individual provider (NPI-1).
NPI number1083172324
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1083172324
- Entity type
- Individual (NPI-1)
- Name
- Elyse Anne Blackston
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2019
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.024183 | OH | Yes |
Practice location
800 Wayne St Ste 100Marietta, OH 45750-3309
Phone 740-568-2214 · Fax 740-568-2099
Mailing address
Po Box 449Marietta, OH 45750-0449
Other practice locations
206 Columbus Rd Ste 402
Athens, OH 45701-1316
Athens, OH 45701-1316
Phone 740-589-3044 · Fax 740-589-3045
807 Farson St Ste 204c
Belpre, OH 45714-1069
Belpre, OH 45714-1069
Phone 740-568-2214 · Fax 740-568-2099
751 State Route 664 N Unit A
Logan, OH 43138-9250
Logan, OH 43138-9250
Phone 740-385-9646 · Fax 740-385-0630
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