person
Christopher Blackwell, CNP
Family Nurse Practitioner in Tylertown, Mississippi
NPI 1982964565

Christopher Blackwell is a Family Nurse Practitioner based in Tylertown, MS and is specialized in Family. Christopher Blackwell practices in Tylertown, MS and has the professional credentials of CNP. The NPI Number for Christopher Blackwell is 1982964565 and holds a License No. R871872 (Mississippi).

The current practice location address for Christopher Blackwell is 107 Ball Ave, Tylertown, MS and can be reached out via phone at 601-377-1975 and via fax at 601-377-1976.

Location: 107 Ball Ave, Tylertown, MS, 39667-2101
person
Provider Profile Details
NPI Number
1982964565
Provider Name
Christopher Blackwell
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
107 Ball Ave, Tylertown, MS, 39667-2101
Phone Number
601-377-1975
Fax Number
601-377-1976
Provider Enumeration Date
05/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103I507204 01 MS MEDICARE PTAN
01538051 05 MS
9365915 01 MS AETNA
937501 01 MS WINDSOR
P01087211 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
107 Ball Ave
City
State
Zip
39667-2101
Phone Number
601-377-1975
Fax Number
601-377-1976
person
Provider Business Mailing Address Details
Address
107 Ball Ave
City
State
Zip
39667-2101
Phone Number
601-377-1975
Fax Number
601-377-1976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R871872 (Mississippi)
Definition
Definition to come...
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