Blackburn, Angela Holt

Blackburn, Angela Holt is an individual health care provider with primary practice located at 208 Old Mocksville Rd , Statesville NC 28625-1953. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackburn, Angela Holt can be contacted via phone (704) 878-2021.

Contact Information

Primary practice address
208 Old Mocksville Rd Statesville NC 28625-1953
Phone: (704) 878-2021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 145108 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 145108 North Carolina

Profile Details

NPI number 1780646406
LBN Legal business name Blackburn, Angela Holt
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 24th, 2018 - about 8 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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