Individual
JENNIFER M BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 N CHURCH ST, GREENSBORO, NC 27401-1038
(336) 375-2300
Mailing address
5010 HICONE RD, GREENSBORO, NC 27405-9429
(336) 529-9816
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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