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Organization

HEALING HYDRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERLENE ELANE BLACKWOOD FNP-C (CO-FOUNDER, FNP)
(910) 514-2775
Entity
Organization

Contact information

Practice address
620 NC HIGHWAY 42 W STE 207, CLAYTON, NC 27520-5803
(910) 514-2775
Mailing address
620 NC HIGHWAY 42 W STE 207, CLAYTON, NC 27520-5803
(910) 514-2775

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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