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Individual

HOLLY BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
6801 GOVERNOR GC PEERY HWY, RICHLANDS, VA 24641-2194
(276) 596-6600
Mailing address
5106 CLARKS VALLEY RD, SWORDS CREEK, VA 24649-3029
(276) 701-1493

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186268
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024186268
LICENSE NUMBER
VA
Enumeration date
01/23/2023
Last updated
01/23/2023
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