Individual
LAURA BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
321 N BRAGG AVE, LOOKOUT MOUNTAIN, TN 37350-1205
(423) 821-6116
Mailing address
70 BRUMBY RD, FLINTSTONE, GA 30725-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260363
GA
163WS0200X
School Registered Nurse
RN260363
GA
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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