Individual
JOHN PAUL BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11001099
FL
363LF0000X
Family Nurse Practitioner
Primary
26463
TN
363LP2300X
Primary Care Nurse Practitioner
26463
TN
Other
Enumeration date
01/23/2019
Last updated
01/30/2026
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