Individual ProviderNancy BlackerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressBldg 1-2539 Hamilton St, Fort Bragg, NC 28310-0001(910) 432-4015(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Blacker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1336118512Provider TypeIndividualFull NameBlacker, NancyCredentialFNPGenderFemaleEnumeration Date3/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressBldg 1-2539 Hamilton St, Fort Bragg, NC 28310-0001Phone(910) 432-4015FaxUnlisted FaxMailing LocationMailing Address2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310-7324Phone(910) 907-8922FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR159471Maryland