Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nanci Jacqulyn Sullivan-Blackert, RN, MSN, CDE, NP-C

Individual provider Family Nurse Practitioner · NPI 1568718336

Nanci Jacqulyn Sullivan-Blackert, RN, MSN, CDE, NP-C is a Family Nurse Practitioner in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3604 Bush St
Raleigh, NC 27609-7511
Phone: (919) 876-7807
Fax: (919) 459-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5005832 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0512372 (NC)

Record details

NPI number1568718336
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , CDE , NP-C
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESAugust 11, 2016

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