Sally Blackburn is a Family in Bristol, Virginia. Sally Blackburn practices all healthcare services and medical treatments related to Family. The NPI Number for Sally Blackburn is 1700857216. The last update date is 2016-10-05.
Sally Blackburn's current location address is 2195 Euclid Ave, Bristol, Virginia. You can contact this provider via phone number 2766695179 and fax number 2764668870. The mailing address for Sally Blackburn is 2195 Euclid Ave, Bristol, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sally Blackburn |
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Address | 2195 Euclid Ave, Bristol, Virginia |
Phone Number | 2766695179 |
Fax Number | 2764668870 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1700857216 |
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Provider Enumeration Date | 2006-02-01 |
Last Updated Date | 2016-10-05 |
Provider Mailing Address Detail
Address | 2195 Euclid Ave |
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City | Bristol |
State | Virginia (VA) |
Post Code | 242013655 |
Phone Number | 2766695179 |
Fax Number | 2764668870 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 24164957 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Q006676 | TN | -- |
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What is the Sally Blackburn's unique identification number?
The Sally Blackburn has been assigned the NPI (National Provider Identifier) Number 1700857216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Sally Blackburn located?
The Sally Blackburn is located at 2195 Euclid Ave, Bristol, VA 242013655.
What is Sally Blackburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sally Blackburn is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Sally Blackburn receive the assignment of its 1700857216 from the Centers for Medicare & Medicaid Services?
The Sally Blackburn was issued its 1700857216 by the Centers for Medicare & Medicaid Services on 2006-02-01.
When was the information regarding Sally Blackburn most recently updated?
The details pertaining to the Sally Blackburn, including its address, specialty, and other relevant information, were last refreshed on 2016-10-05.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY