Individual
NICOLE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W CARY ST, RICHMOND, VA 23220-5410
(804) 359-9375
Mailing address
14300 SAPPHIRE PARK LN APT 302, MIDLOTHIAN, VA 23114-5324
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024178019
VA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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