Individual
TINA MICHELLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 HIGHWAY 51 S, RIPLEY, TN 38063-4583
(731) 635-9711
(731) 635-6031
Mailing address
500 HIGHWAY 51 S, RIPLEY, TN 38063-4583
(731) 635-9711
(731) 635-6031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000238667
TN
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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