ANTOINETTE BLACKSTOCK RN
NPI 1841903291
Registered Nurse - Ambulatory Care in Long Beach, CA
Active since December 30, 2022
About Antoinette Blackstock Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTOINETTE BLACKSTOCK RN (NPI 1841903291) is an individual ambulatory care provider in Long Beach, California, licensed in California (95039382) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1841903291
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameANTOINETTE BLACKSTOCKCredential: RN
Location Address1333 CHESTNUT AVELong Beach, CA 90813-2944
Mailing Address64 MonroeIrvine, CA 92620-3639
Phone(562) 753-2301
Sole ProprietorYes
Enumeration DateDecember 30, 2022
NPPES CertifiedDecember 30, 2022
✔ NPI 1841903291 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in CA · 95039382
1333 CHESTNUT AVE, Long Beach, CA 90813
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Obstetrics & Gynecology)
1333 CHESTNUT AVE
LONG BEACH, CA 90813
LONG BEACH, CA 90813
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841903291, enumerated as an "individual" on December 30, 2022.
The provider is located at 1333 CHESTNUT AVE LONG BEACH, CA 90813 and the phone number is (562) 753-2301.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.