Individual provider · Type 1 NPI

Anita Jane Blackwell, RNCPNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1790808681 Active

Practice location

4055 Lindell Blvd
St. Louis, MO 63108-3201

Fax (314) 535-0207

Mailing address

12377 Merit Dr Ste 300
Dallas, TX 75251-3126

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XAP133887 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X061036 (MO)

Pediatric Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1790808681

Anita Jane Blackwell, RNCPNP's National Provider Identifier is 1790808681, issued on Apr 7, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 22, 2022.