Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Yvette Blackburn, AGPNP

Individual provider Nurse Practitioner · NPI 1245899616

Angela Yvette Blackburn, AGPNP is a Nurse Practitioner in Roxboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

615 Ridge Rd
Roxboro, NC 27573-4629
Phone: (336) 503-5623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011847 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 5011847 (NC)

Record details

NPI number1245899616
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPNP
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

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