Individual
DESTYNI BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7979
(904) 542-7394
Mailing address
137 MARINDA PL, SAINT JOHNS, FL 32259-1264
(904) 803-1656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9380591
FL
Other
Enumeration date
07/24/2018
Last updated
06/29/2026
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