BENJAMIN P BLAKEMAN AGACNP NPI 1063247948

NPI Information

  • NPI: 1063247948
  • Provider Name: BENJAMIN P BLAKEMAN, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 3621 RANDOLPH RD STE 100
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 512-3303

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NPI Details

Benjamin P Blakeman, AGACNP is an acute care nurse practitioner in Charlotte, NC. Benjamin P Blakeman, AGACNP NPI is 1063247948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3621 RANDOLPH RD STE 100
CHARLOTTE, NC
ZIP 28211-027
Phone: (704) 512-3303

The enumeration date for this NPI number is 9/3/2024 and was last updated on 9/3/2024.

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
1363LA2100XNurse PractitionerAcute Care29069SOUTH CAROLINAYes

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: 3/30/2025

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