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

Christian Constance Blackwell, RNMSNNP-C

Individual provider Nurse Practitioner · NPI 1922494657

Christian Constance Blackwell, RNMSNNP-C is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2015, 11 years ago. Practices with Gulf Coast Immediate Care Center Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015

Practice location Address checks out

1005 Mar Walt Drive Internal Medicine Dept
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9171045 (FL)

Record details

NPI number1922494657
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSNNP-C
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESSeptember 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Gulf Coast Immediate Care Center Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Walton Beach