Individual
SAVANNAH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 55401-2104
(228) 218-5023
Mailing address
3805 FIELDWORTH RD, MOSS POINT, MS 39562-7201
(228) 218-5023
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
907541
MS
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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