Individual
NICHELE BLAKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10182 CARRIAGE HOUSE COURT, JACKSONVILLE, FL 32221
(904) 693-8835
Mailing address
10182 CARRIAGE HOUSE COURT, JACKSONVILLE, FL 32221
(904) 693-8835
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/17/2019
Last updated
03/19/2020
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