Individual
SHELBY LAYNE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
Mailing address
1570 RAPTOR TERRACE NE, BOLIVIA, NC 28422
(210) 488-4023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1155658
TX
363L00000X
Nurse Practitioner
Primary
5020883
NC
Other
Enumeration date
08/13/2024
Last updated
01/06/2025
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