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1356105068
CASSIE SHYANNE BLACKWELL
JOHNSON CITY, TN
NPI
1356105068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 35710)
Enumeration Date
2024-02-13
Last Update Date
2024-03-15
Business Address
CASSIE SHYANNE BLACKWELL FNP-C
2340 KNOB CREEK RD STE 720
JOHNSON CITY, TN 37604-2977
Phone number: 423-926-6112
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Mailing Address
CASSIE SHYANNE BLACKWELL FNP-C
2218 WINDSOR AVE
BRISTOL, TN 37620-1806
Phone number: 865-224-9229
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