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Organization
BLAKENEY FAMILY PRACTICE, PLLC
Active
Organization
BLAKENEY FAMILY PRACTICE, PLLC
Active
Other names
Family First Wellness Practice
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA BLAKENEY-WILLIAMS FNP-C (CNO)
(980) 402-4668
Entity
Organization
Contact information
Practice address
4401 E INDEPENDENCE BLVD STE 208F, CHARLOTTE, NC 28205-7485
(980) 402-4668
Mailing address
PO BOX 37054, ROCK HILL, SC 29732-0517
(980) 402-4668
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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