VAN TYLER BLACKABY

KNOXVILLE, TN
NPI1205272010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  apn0000036184)
Enumeration Date2013-05-20
Last Update Date2024-05-19
Business Address
VAN TYLER BLACKABY
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Mailing Address
VAN TYLER BLACKABY
2830 FAIRMONT BLVD
KNOXVILLE, TN 37917-2357
Phone number: 865-548-5629
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