| NPI | 1497001721 |
|---|---|
| Former Name | BILLIE CAROL BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 173529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 173529) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18651) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-05-13 |