Individual
TAYLOR K BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
207 SPEARS AVE, CHATTANOOGA, TN 37405-3840
(423) 756-7644
Mailing address
8440 BLACK WALNUT DR, OOLTEWAH, TN 37363-3103
(601) 604-9782
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29613
TN
Other
Enumeration date
06/17/2021
Last updated
06/24/2021
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