Dr. Angela Chisum Blackburn
Nurse Practitioner - Neonatal (Critical Care)
5149 N 9th Ave Suite G-27
Pensacola
, Florida 32504-8756
Dr. Angela Chisum Blackburn
Nurse Practitioner - Neonatal (Critical Care)
5149 N 9th Ave Suite G-27
Pensacola
, Florida 32504-8756
(954) 838-9961
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Dr. Angela Chisum Blackburn
- 1300 Sawgrass Corporate Pkwy Suite 200
- Sunrise, FL
- Zip : 33323-2826
- Fax : (954) 838-9961
- Phone : (800) 243-3839
Second Address
- Dr. Angela Chisum Blackburn
- 5149 N 9th Ave Suite G-27
- Pensacola, FL
- Zip : 32504-8756
- Fax : (850) 416-7253
- Phone : (850) 416-4417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2080252 | FL |
National Provider Identifier
| NPI | 1225114143 |
|---|---|
| Provider Name | Dr. Angela Chisum Blackburn |
| First Address | Sunrise, FL 33323-2826 |
| Second Address | Pensacola, FL 32504-8756 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 16/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.