Carly Jean Blasingame

CPNP-PC | Nurse Practitioner - Primary Care

1500 Cooper St, Fort Worth
  Texas, 76104-2710
682-885-2500
May or may not accept Medicare Nurse Practitioner in Fort Worth, Texas.
Carly Jean Blasingame is a Fort Worth, Texas based nurse practitioner who is specialized as Primary Care NP. Active license number of Carly Jean Blasingame is 1127441 for Primary Care NP in Texas. Her current practice location is 1500 Cooper St, Fort Worth. Patients can reach her at 682-885-2500 or can fax her at 682-885-2510. Carly Jean Blasingame is CPNP-PC with specialization in Primary Care NP and her NPI number (Unique professional ID assigned by NPPES) is 1104504984.
Carly Jean Blasingame is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Carly Jean Blasingame speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Carly Jean Blasingame
Specialization: Nurse Practitioner - Primary Care (PCNP)
Gender:Female
Credentials: CPNP-PC
Practice Address:1500 Cooper St, Fort Worth,
Texas, 76104-2710
Phone:682-885-2500
Fax:682-885-2510
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1104504984
NPI Enumeration Date: 10 Jul, 2023
NPI Last Update On: 06 Apr, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carly Jean Blasingame are as mentioned below.
License NumberSpecializationStateStatus
1127441Primary Care NP TexasPrimary
1127441Pediatrics NP TexasSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Carly Jean Blasingame
Po Box 733784,
Dallas, Texas
Zip: 75373-3784
Phone Number: 682-885-6483
Fax Number: 682-885-3113
Patients can reach Carly Jean Blasingame at 1500 Cooper St, Fort Worth, Texas or can call to book an appointment on 682-885-2500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.