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Individual

MRS. TAMMY MARIE BLACKMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
6365 HONORATA DR, COLUMBUS, OH 43213-4490
(614) 980-5424
Mailing address
6365 HONORATA DR, COLUMBUS, OH 43213-4490
(614) 980-5424

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033879
OH

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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