Individual
ALLYSON MICHELLE BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN AG-ACNP
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4500
Mailing address
310 LARCHWAY LN, SPRINGBORO, OH 45066-9751
(812) 701-5066
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0034282
OH
Other
Enumeration date
07/04/2023
Last updated
01/25/2024
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