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Individual

JADA BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6177 FOXTAIL DR, MOBILE, AL 36693-3550
(251) 767-9962
Mailing address
6177 FOXTAIL DR, MOBILE, AL 36693-3550

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-173201
AL

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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