Individual provider · NPI-1

Courtney Vann Blocker, FNP-C

Nurse Practitioner, Family · Charlotte, NC

NPI number1134534399
StatusActive
Last updated in NPPESApr 30, 2025

Details

NPI
1134534399
Entity type
Individual (NPI-1)
Name
Courtney Vann Blocker
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2014
Certification date
Apr 30, 2025
Last updated
Apr 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5017719NCYes
163WD0400X Registered Nurse, Diabetes EducatorRN621420PA
363L00000X Nurse Practitioner5017719NC
363LF0000X Nurse Practitioner, FamilySP018799PA

Other names

  • Courtney Vann Boksan (Former Name)

Practice location

10710 Sikes Pl Ste 100
Charlotte, NC 28277-8194

Phone 704-248-5101 · Fax 704-248-5120

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014

Phone 704-971-7099 · Fax 704-971-0035

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