Individual
TRACIE MICHELLE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5063
(865) 215-5406
Mailing address
1527 SEQUOIA DR, MARYVILLE, TN 37801-3637
(865) 388-9664
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000105620
TN
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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