Individual
HOLLY ANGELA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S MONTGOMERY AVE, SHEFFIELD, AL 35660-6334
(256) 710-9642
Mailing address
107 HICKORY CV, FLORENCE, AL 35634-2306
(256) 710-9642
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-089407
AL
Other
Enumeration date
07/02/2021
Last updated
08/03/2023
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