Individual
CHRISTY ELLEN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3651 SE 97TH LN, BELLEVIEW, FL 34420-7800
(352) 342-6985
Mailing address
3651 SE 97TH LN, BELLEVIEW, FL 34420-7800
(352) 342-6985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11004767
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11004767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104903600
—
FL
Enumeration date
10/23/2019
Last updated
03/11/2026
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