GEORGENNA BLAKES

MOBILE, AL
NPI1922891431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  1-162712)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-162712)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
GEORGENNA BLAKES CRNP
5955 AIRPORT BLVD
MOBILE, AL 36608-3135
Phone number: 251-633-0573
Mailing Address
GEORGENNA BLAKES CRNP
PO BOX 7987
MOBILE, AL 36670-0987
Phone number: 251-633-0573