Individual
CASSIE SHYANNE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2340 KNOB CREEK RD STE 720, JOHNSON CITY, TN 37604-2977
(423) 926-6112
Mailing address
2218 WINDSOR AVE, BRISTOL, TN 37620-1806
(865) 224-9229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35710
TN
Other
Enumeration date
02/13/2024
Last updated
03/15/2024
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