Individual
CHRISTINA M BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCCNP
Contact information
Practice address
802 E DIXIE AVE, LEESBURG, FL 34748-6014
(352) 326-6011
(352) 365-1003
Mailing address
1950 LAUREL MANOR DR, THE VILLAGES, FL 32162-5603
(407) 761-8846
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
020847
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11000370
FL
Other
Enumeration date
06/01/2017
Last updated
11/25/2024
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