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Individual

NANCY BLACKER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
BLDG 1-2539 HAMILTON ST, FORT BRAGG, NC 28310-0001
(910) 432-4015
Mailing address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R159471
MD

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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