Individual
YOLANDA RAVON BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6215 HUMPHREYS BLVD STE 400, MEMPHIS, TN 38120-2382
(901) 227-9580
(901) 227-9580
Mailing address
6215 HUMPHREYS BLVD STE 400, MEMPHIS, TN 38120-2382
(901) 227-9580
(901) 227-9580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000161085
TN
163WD0400X
Diabetes Educator Registered Nurse
0000161085
TN
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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