Individual provider · NPI-1

Alisha Nicole Blevins, MSN, RN, CPNP-PC

Nurse Practitioner, Pediatrics · St Petersburg, FL

NPI number1285162974
StatusActive
Last updated in NPPESAug 20, 2019

Details

NPI
1285162974
Entity type
Individual (NPI-1)
Name
Mrs. Alisha Nicole Blevins
Credential
MSN, RN, CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2017
Last updated
Aug 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics11003009FLYes

Practice location

501 6th Ave S
St Petersburg, FL 33701

Phone 727-898-7451

Mailing address

703 Charles Ct S
Saint Petersburg, FL 33701-4420

Phone 865-776-5734

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