Blackwell, Christian Constance

Blackwell, Christian Constance is an individual health care provider with primary practice located at 1005 Mar Walt Drive Internal Medicine Department, Fort Walton Beach FL 32547-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blackwell, Christian Constance can be contacted via phone (850) 863-8202.

Contact Information

Primary practice address
1005 Mar Walt Drive Internal Medicine Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9171045 Florida

Profile Details

NPI number 1922494657
LBN Legal business name Blackwell, Christian Constance
Credentials RN MSN NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Sep 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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