Individual provider · Type 1 NPI

Cory W. Blocker, PNP

Pediatric Nurse Practitioner · Dexter, MO

NPI number 1396945663 Active

Practice location

1200 N One Mile Rd
Dexter, MO 63841-1000

Mailing address

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X148700 (MO)

Pediatric Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1396945663

Cory W. Blocker, PNP's National Provider Identifier is 1396945663, issued on Jul 24, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dexter, MO. The record was last updated on Oct 7, 2015.