Individual
ALLIE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
701 PROFESSIONAL PLAZA DR, GREENEVILLE, TN 37745-5101
(423) 609-7815
(423) 609-7816
Mailing address
701 PROFESSIONAL PLAZA DR STE 2, GREENEVILLE, TN 37745-5104
(423) 609-7815
(423) 609-7816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497194740
—
WV
Enumeration date
06/20/2013
Last updated
02/04/2026
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