SALLY BLACKBURN

BRISTOL, VA
NPI1700857216
Former NameSALLY PENNINGS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024164957)
Enumeration Date2006-02-01
Last Update Date2016-10-05
Business Address
-- SALLY BLACKBURN NP
2195 EUCLID AVE SUITE 6
BRISTOL, VA 24201-3655
Phone number: 276-669-5179
Mailing Address
-- SALLY BLACKBURN NP
PO BOX 729
SALTVILLE, VA 24370-0729
Phone number: 276-496-4492
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