Individual
DR. ANGELA CHISUM BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., A.R.N.P.
Contact information
Practice address
5149 N 9TH AVE, SUITE G-27, PENSACOLA, FL 32504-8756
(850) 416-4417
(850) 416-7253
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(800) 243-3839
(954) 838-9961
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2080252
FL
Other
Enumeration date
10/31/2006
Last updated
02/16/2011
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