Individual
DANIELLE BLACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
513 BROOKWOOD BLVD, SUITE 401, BIRMINGHAM, AL 35209-6862
(205) 397-1080
(205) 423-0416
Mailing address
513 BROOKWOOD BLVD, SUITE 401, BIRMINGHAM, AL 35209-6862
(205) 397-1080
(205) 423-0416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1216272
AL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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