Christian Constance Blackwell, RN MSN NP-C
Nurse Practitioner in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1922494657
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1922494657
- Entity type
- Individual (NPI-1)
- Name
- Christian Constance Blackwell
- Credential
- RN MSN NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2015
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9171045 | FL | Yes |
Other names
- Christian Constance Carroll (Former Name)
Practice location
1005 Mar Walt DriveInternal Medicine Department
Fort Walton Beach, FL 32547-6707
Phone 850-863-8202 · Fax 850-862-6148
Mailing address
1005 Mar Walt DrFort Walton Beach, FL 32547-6707
Phone 850-863-8100 · Fax 850-863-8548
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All 27 Nurse Practitioner providers in Fort Walton Beach · All 1,854 providers in Fort Walton Beach
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