MICHELLE BLACKSTON

BALTIMORE, MD
NPI1194277152
Former NameMICHELLE PENDORA JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MD  R160398)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R160398)
Enumeration Date2016-10-25
Last Update Date2023-01-26
Business Address
Mrs. MICHELLE BLACKSTON FNP
1105 N POINT BLVD STE 321
BALTIMORE, MD 21224-3472
Phone number: 410-517-7060
Mailing Address
Mrs. MICHELLE BLACKSTON FNP
1105 N POINT BLVD STE 321
BALTIMORE, MD 21224-3472
Phone number: 410-517-7060