Individual
MRS. ALISHA NICOLE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701
(727) 898-7451
Mailing address
703 CHARLES CT S, SAINT PETERSBURG, FL 33701-4420
(865) 776-5734
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11003009
FL
Other
Enumeration date
05/25/2017
Last updated
08/20/2019
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