VAN TYLER BLACKABY

KNOXVILLE, TN
NPI1205272010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  36184)
Enumeration Date2013-05-20
Last Update Date2025-04-22
Business Address
VAN TYLER BLACKABY PMHNP-BC
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
Mailing Address
VAN TYLER BLACKABY PMHNP-BC
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344