ERICA DANIELLE BLALOCK NP NPI 1881095073

NPI Information

NPI: 1881095073
Provider Name: ERICA DANIELLE BLALOCK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 997-5900
Get Directions

Erica Danielle Blalock, NP is a family nurse practitioner in Fort Payne, AL. Erica Danielle Blalock, NP NPI is 1881095073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1359 OLD WATER WORKS RD SW
FORT PAYNE, AL
ZIP 35968-347
Phone: (256) 997-5900
Fax: (256) 997-5995

The enumeration date for this NPI number is 9/8/2014 and was last updated on 3/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19028	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	1131087	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-131087	OTHER	ALABAMA	ALABAMA NP/RN LICENSE
2	179228	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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