Individual
SEBRENA BLACKNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6118 SAINT GILES ST, RALEIGH, NC 27612-7082
(919) 910-0441
(919) 341-5068
Mailing address
6118 SAINT GILES ST, RALEIGH, NC 27612-7082
(919) 910-0441
(919) 341-5068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61629
NC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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