Individual
HEATHER SHAW BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1050 CHEMSTRAN AVE, DECATUR, AL 35601-8900
(256) 552-2522
(256) 585-6426
Mailing address
1050 CHEMSTRAN AVE, DECATUR, AL 35601-8900
(256) 552-2522
(256) 585-6426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135575
AL
363LX0106X
Occupational Health Nurse Practitioner
1-135575
AL
Other
Enumeration date
02/03/2022
Last updated
04/28/2025
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