Individual provider · Type 1 NPI

Christian Constance Blackwell, RN MSN NP-C

Nurse Practitioner · Fort Walton Beach, FL

NPI number 1922494657 Active

Practice location

1005 Mar Walt Drive, Internal Medicine Department
Fort Walton Beach, FL 32547-6707

Call (850) 863-8202 Map

Fax (850) 862-6148

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9171045 (FL)

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 1922494657

Christian Constance Blackwell, RN MSN NP-C's National Provider Identifier is 1922494657, issued on Apr 9, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 25, 2019.