| NPI | 1386880185 |
|---|---|
| Former Name | BRITTANY ANNE BLALOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000167668) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2012-08-28 |