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Individual

ASHLEY RONISHA BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 927-0114
Mailing address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(667) 218-9603

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001331851
VA
1710I1003X
Independent Duty Medical Technicians

Other

Enumeration date
01/28/2011
Last updated
03/18/2026
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