| Christian Constance Blackwell, RN MSN NP-C | |
|
1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | |
| (850) 863-8202 | |
| (850) 862-6148 |
| Full Name | Christian Constance Blackwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1005 Mar Walt Drive, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922494657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9171045 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Immediate Care Center Inc. | 9638172745 | 3 |
| Entity Name | Gulf Coast Immediate Care Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437113057 PECOS PAC ID: 9638172745 Enrollment ID: O20061018000156 |
| Entity Name | Quality Urgent Care & Wellness Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861824013 PECOS PAC ID: 8628292448 Enrollment ID: O20140618001717 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Constance Blackwell, RN MSN NP-C 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8100 | Christian Constance Blackwell, RN MSN NP-C 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8202 |
Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497 | |
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594 | |
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104 | |
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439 | |
Emily Herman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385 | |
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249 | |
Brenda Carol Dixon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 221 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-9240 Fax: 850-833-9252 |