Individual
MISS CYNTHIA ANN BLALOCK
Active
Individual
MISS CYNTHIA ANN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
19335
TN
363LA2200X
Adult Health Nurse Practitioner
3009034
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
APN19335
TN
Other
Enumeration date
10/29/2014
Last updated
03/22/2022
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