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Ms. Wyvon Blackwell, MSN,APRN,FNP-C
Family Nurse Practitioner in Harvey, Illinois
NPI 1821398397

Wyvon Blackwell is a Family Nurse Practitioner based in Harvey, IL and is specialized in Family. Wyvon Blackwell practices in Harvey, IL and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for Wyvon Blackwell is 1821398397 and holds a License No. 28180607A (Illinois).

The current practice location address for Wyvon Blackwell is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177 and via fax at 708-596-5518.

Location: 31 W 155Th St, Harvey, IL, 60426-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821398397
Provider Name
Wyvon Blackwell
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
Provider Enumeration Date
10/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209011447 05 IL
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
F0214515 (Illinois)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28180607A (Indiana)
Definition
Definition to come...
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