Individual
KRISTIN RENEE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1701 SPRING ST STE A, JEFFERSONVILLE, IN 47130-2930
(812) 282-1367
Mailing address
3211 DEER POINT PL, PROSPECT, KY 40059-8139
(812) 972-1150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4008950
KY
363LF0000X
Family Nurse Practitioner
Primary
71014498A
IN
Other
Enumeration date
10/26/2023
Last updated
08/29/2024
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