Individual
CASSANDRA BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1400
(901) 369-1433
Mailing address
1885 WALL ST APT 8, MEMPHIS, TN 38134-9618
(901) 907-0035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162463
TN
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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