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General NPI Number Information
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NPI Number | 1417971912
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Entity Type | Individual
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Provider Name | MICHELLE ELAINE BLACKWOOD APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-5215
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Fax | 405-271-1236
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Provider Business Mailing Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-842-4000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 028145
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP028660
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 225161
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 217686
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 028145
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 11733
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License Number State | TN
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