Individual provider · Type 1 NPI

Abby Blacker, CPNP-PC

Pediatric Nurse Practitioner · Champaign, IL

NPI number 1326586249 Active

Practice location

1701 Curtis Rd
Champaign, IL 61822-9678

Fax (217) 326-0188

Mailing address

611 W Park St
Urbana, IL 61801-2529

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XC125605 (IA)
Pediatric Nurse Practitioner Primary 363LP0200X209024207 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1326586249

Abby Blacker, CPNP-PC's National Provider Identifier is 1326586249, issued on Feb 11, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Champaign, IL. The record was last updated on May 19, 2022.