Individual
BRANDICE MICHELLE BLANKENSOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11070 HIGHWAY 14, ALICEVILLE, AL 35442-4702
(205) 373-5000
Mailing address
11070 HIGHWAY 14, ALICEVILLE, AL 35442-4702
(205) 373-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-169273
AL
Other
Enumeration date
10/07/2024
Last updated
10/08/2024
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