Individual
COURTNEY VANN BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10710 SIKES PL STE 100, CHARLOTTE, NC 28277-8194
(704) 248-5101
(704) 248-5120
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN621420
PA
363L00000X
Nurse Practitioner
5017719
NC
363LF0000X
Family Nurse Practitioner
Primary
5017719
NC
363LF0000X
Family Nurse Practitioner
SP018799
PA
Other
Enumeration date
06/26/2014
Last updated
04/30/2025
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