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Individual

MRS. JENNIFER LYNNE BLACKERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
213 S 5TH ST, SUITE 110, GADSDEN, AL 35901-4217
(256) 546-1190
(256) 546-1193
Mailing address
503 S 5TH ST, SUITE 110, GADSDEN, AL 35901-5103
(256) 546-6200
(256) 546-6250

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097717
AL

Other

Enumeration date
02/15/2013
Last updated
08/09/2016
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