Provider Demographics
NPI:1467976423
Name:BLACKSHEAR, DAWN CARNEGIA (APRN)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CARNEGIA
Last Name:BLACKSHEAR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:CARNEGIA
Other - Last Name:BLACKSHEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 102222
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2222
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:
Practice Address - Street 1:1309 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3406
Practice Address - Country:US
Practice Address - Phone:561-366-4100
Practice Address - Fax:866-326-5063
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9311975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily