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1578302287
SHANNA NICHOLE BLACKWELL
MEMPHIS, TN
NPI
1578302287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 36123)
Enumeration Date
2024-05-22
Last Update Date
2024-07-23
Business Address
SHANNA NICHOLE BLACKWELL FNP-C
1211 UNION AVE STE 965
MEMPHIS, TN 38104-6638
Phone number: 901-435-8550
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Mailing Address
SHANNA NICHOLE BLACKWELL FNP-C
1211 UNION AVE STE 330
MEMPHIS, TN 38104-6655
Phone number:
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