Individual
JAIMIE LYNN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 776-4000
Mailing address
207 ADMIRALTY WAY NW, MILLEDGEVILLE, GA 31061-9471
(478) 456-9759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09220351
GA
Other
Enumeration date
09/15/2022
Last updated
06/05/2024
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