Individual
HALEY BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25892 N JAMES MADISON HWY, NEW CANTON, VA 23123-2234
(434) 581-3271
Mailing address
25892 N JAMES MADISON HWY, NEW CANTON, VA 23123-2234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179727
VA
Other
Enumeration date
07/20/2020
Last updated
06/12/2025
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