Individual
CHRISTIAN CONSTANCE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN NP-C
Contact information
Practice address
1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8202
(850) 862-6148
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 863-8548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9171045
FL
Other
Enumeration date
04/09/2015
Last updated
09/25/2019
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