Individual
MS. SHERRY M BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
238 SUMMAR DRIVE, JACKSON, TN 38301
(731) 541-8240
Mailing address
238 SUMMAR DRIVE, JACKSON, TN 38301
(731) 541-8240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7449
TN
Other
Enumeration date
03/19/2007
Last updated
05/10/2012
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