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Clyde Blaylock, FNP-BC
Nurse Practitioner in Melbourne, Florida
NPI 1154738821

Clyde Blaylock is a Nurse Practitioner based in Rockledge, FL. Clyde Blaylock practices in Melbourne, FL and has the professional credentials of FNP-BC. The NPI Number for Clyde Blaylock is 1154738821 and holds a License No. ARNP9210359 (Florida).

The current practice location address for Clyde Blaylock is 8725 N Wickham Rd Ste 301, Melbourne, FL and can be reached out via phone at 321-434-9200 and via fax at 321-434-9202.

Location: 8725 N Wickham Rd Ste 301, Melbourne, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154738821
Provider Name
Clyde Blaylock
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
8725 N Wickham Rd Ste 301, Melbourne, FL, 32955-4306
Phone Number
321-434-9200
Fax Number
321-434-9202
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HX161Z 01 FL MEDICARE
014541700 05 FL
HX161Y 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
8725 N Wickham Rd Ste 301
City
Melbourne
State
Florida
Zip
32940-2240
Phone Number
321-434-9200
Fax Number
321-434-9202
person
Provider Business Mailing Address Details
Address
8725 N Wickham Rd Ste 301
City
Melbourne
State
Florida
Zip
32940-2240
Phone Number
321-434-9200
Fax Number
321-434-9202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
ARNP9210359 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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