Blackwell, Courtney B

Blackwell, Courtney B is an individual health care provider with primary practice located at 1000 Craig Dr , Amarillo TX 79106-4015. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blackwell, Courtney B can be contacted via phone (806) 331-7905.

Contact Information

Primary practice address
1000 Craig Dr Amarillo TX 79106-4015
Phone: (806) 331-7905
Fax: (806) 731-1516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP126365 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP126365 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP126365 Texas

Profile Details

NPI number 1467839324
LBN Legal business name Blackwell, Courtney B
Credentials RN, MSN, AGNP AANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2015
Last updated Feb 16th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467839324 NPPES
Texas MEDICAID 3456659-01

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