Individual
RACHEL BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5671
(888) 241-1404
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 577-6352
(615) 810-8969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3389681
NY
363L00000X
Nurse Practitioner
Primary
5013919
NC
363LF0000X
Family Nurse Practitioner
3389681
NY
Other
Enumeration date
05/14/2014
Last updated
01/26/2021
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