Individual provider · Type 1 NPI
Brandon Stuart Blackwood, FNP-C
Nurse Practitioner · Lake Forest, IL
Practice location
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Mailing address
415 W Aldine Ave Apt 2C
Chicago, IL 60657-3601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209020242 (IL) |
| Emergency Clinical Nurse Specialist | 364SE0003X | 209020242 (IL) |
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 1144867441
Brandon Stuart Blackwood, FNP-C's National Provider Identifier is 1144867441, issued on Dec 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Forest, IL. The record was last updated on Apr 15, 2020.