Individual provider · Type 1 NPI

Wyvon Blackwell, MSN, APRN, FNP-C

Family Nurse Practitioner · Harvey, IL

NPI number 1821398397 Active

Practice location

31 W 155th St
Harvey, IL 60426

Call (708) 596-5177 Map

Fax (708) 596-5518

Other practice locations

  • 326 W 64th St, Chicago, IL 60621-3114 · (773) 962-5000
  • 326 W 64th St, Chicago, IL 60621-3114 · (773) 962-5000

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X28180607A (IN)
Family Nurse Practitioner 363LF0000XF0214515 (IL)
Family Nurse Practitioner 363LF0000X309007962 (IL)
Family Nurse Practitioner Primary 363LF0000X209011447 (IL)

Family Nurse Practitioner: Definition to come...

68 other providers at this address

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About NPI 1821398397

Wyvon Blackwell, MSN, APRN, FNP-C's National Provider Identifier is 1821398397, issued on Oct 29, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Harvey, IL. The record was last updated on Nov 5, 2019.