Blackburn, Angela Chisum

Blackburn, Angela Chisum is an sole proprietor health care provider with primary practice located at 5149 N 9Th Ave Suite G-27, Pensacola FL 32504-8756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Blackburn, Angela Chisum can be contacted via phone (850) 416-4417.

Contact Information

Primary practice address
5149 N 9Th Ave Suite G-27 Pensacola FL 32504-8756
Phone: (850) 416-4417
Fax: (850) 416-7253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 2080252 Florida

Profile Details

NPI number 1225114143
LBN Legal business name Blackburn, Angela Chisum
Credentials PH.D., A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Feb 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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