Carly Jean Blasingame, CPNP-PC
Carly Jean Blasingame, CPNP-PC is a Primary Care Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1500 Cooper StFort Worth, TX 76104-2710
Phone: (682) 885-2500
Fax: (682) 885-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 1127441 (TX) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence 1127441 (TX) |
Record details
| NPI number | 1104504984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPNP-PC |
| Sole proprietor | No |
| NPI enumerated | July 10, 2023 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
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-
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