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Individual

CHASITY H BLALOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
28 WHITE BRIDGE RD STE 209, NASHVILLE, TN 37205-1466
(615) 352-3000
(615) 352-6673
Mailing address
28 WHITE BRIDGE RD STE 209, NASHVILLE, TN 37205-1466
(615) 352-3000
(615) 352-6673

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18018
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q002951
TN
Enumeration date
12/12/2013
Last updated
07/12/2014
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