Miss Anita Jane Blackwell
RNCPNP | Nurse Practitioner - Pediatrics
4055 Lindell Blvd, Saint Louis
Missouri, 63108-3201
314-535-7701
Miss Anita Jane Blackwell is a Saint Louis, Missouri based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Miss Anita Jane Blackwell is 061036 for Pediatrics in Missouri. Her current practice location is 4055 Lindell Blvd, Saint Louis. Patients can reach her at 314-535-7701 or can fax her at 314-535-0207. Miss Anita Jane Blackwell is RNCPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1790808681.
Miss Anita Jane Blackwell specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Miss Anita Jane Blackwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Anita Jane Blackwell |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | RNCPNP |
| Practice Address: | 4055 Lindell Blvd, Saint Louis,
Missouri, 63108-3201 |
| Phone: | 314-535-7701 |
| Fax: | 314-535-0207 |
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: | 1790808681 |
| NPI Enumeration Date: | 07 Apr, 2007 |
| NPI Last Update On: | 22 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Anita Jane Blackwell are as mentioned below.
| License Number | Specialization | State | Status | |
| 061036 | Pediatrics | Missouri | Primary | |
| AP133887 | Pediatrics | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Anita Jane Blackwell
12377 Merit Dr Ste 300,
Dallas, Texas |
| Zip: | 75251-3126 |
| Phone Number: | 972-957-3000 |
| Fax Number: | 972-957-3005 |
Patients can reach Miss Anita Jane Blackwell at
4055 Lindell Blvd, Saint Louis, Missouri or can
call to book an appointment on 314-535-7701.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.