Individual
ALEXANDRA NICOLE BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 W MADISON ST, STARKE, FL 32091-3923
(904) 964-5455
(904) 964-4099
Mailing address
345 W MADISON ST, STARKE, FL 32091-3923
(904) 964-5455
(904) 964-4099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11041266
FL
Other
Enumeration date
09/09/2025
Last updated
09/10/2025
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