Individual provider · Type 1 NPI

Shelby Layne Blackwell, FNP-C

Nurse Practitioner · Wilmington, NC

NPI number 1093546756 Active

Practice location

5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155

Fax (910) 777-5961

Mailing address

1570 Raptor Terrace NE
Bolivia, NC 28422

Other practice locations

  • 3015 Enterprise Dr, Wilmington, NC 28405-2116 · (910) 791-3451

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5020883 (NC)
Nurse Practitioner 363L00000X1155658 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093546756

Shelby Layne Blackwell, FNP-C's National Provider Identifier is 1093546756, issued on Aug 13, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on May 22, 2026.