Provider Demographics
NPI:1386275006
Name:BARNHILL-BLACKWELL, ELIZABETH PAIGE (FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PAIGE
Last Name:BARNHILL-BLACKWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 ICE PLANT RD
Mailing Address - Street 2:
Mailing Address - City:FAIR BLUFF
Mailing Address - State:NC
Mailing Address - Zip Code:28439-8611
Mailing Address - Country:US
Mailing Address - Phone:910-207-2714
Mailing Address - Fax:
Practice Address - Street 1:104 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:CHADBOURN
Practice Address - State:NC
Practice Address - Zip Code:28431-1402
Practice Address - Country:US
Practice Address - Phone:910-654-3143
Practice Address - Fax:910-654-4144
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC267351163W00000X
NC5012838363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner