Individual
JEFFREY SHAWN BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NP-C
Contact information
Practice address
2150 BROOKMEADE DR, COLUMBIA, TN 38401-4085
(931) 840-8525
(931) 840-8535
Mailing address
2150 BROOKMEADE DR, COLUMBIA, TN 38401-4085
(931) 840-8525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24600
TN
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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