Individual
MRS. CHANDRA B. BLANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1066 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(865) 933-9477
(865) 933-9466
Mailing address
620 BLOUNT CIR, RUTLEDGE, TN 37861-5698
(865) 850-4168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000016569
TN
Other
Enumeration date
03/22/2012
Last updated
10/02/2021
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