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

Christopher Blackwell, CNP

Individual provider Family Nurse Practitioner · NPI 1982964565

Christopher Blackwell, CNP is a Nurse Practitioner in Tylertown, Mississippi. Qualified in 2012, 14 years ago. Practices with Blackwells Family Medicine LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Licensed in
MS
In the registry since
2012
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

107 Ball Ave
Tylertown, MS 39667-2101
Phone: (601) 377-1975
Fax: (601) 377-1976
Show map & directions

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

Additional practice locations (1)

  • 178 Highway 24 E, Centreville, MS 39631-4171 — (601) 890-0500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R871872 (MS)

Record details

NPI number1982964565
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address107 Ball Ave, Tylertown, MS 39667-2101

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Blackwells Family Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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