Individual
MRS. BLAKELY JO WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-6187
(901) 287-5895
Mailing address
50 NORTH DUNLAP NEUROSCIENCE 7TH FLOOR, MEMPHIS, TN 38103
(901) 287-6187
(901) 287-5895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R79688
AR
363LF0000X
Family Nurse Practitioner
Primary
14831
TN
Other
Enumeration date
05/04/2010
Last updated
01/07/2020
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