Individual
HADIYAH A BLAKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2055 BRIGGS RD STE 106, MOUNT LAUREL, NJ 08054-4630
(856) 231-9666
(856) 231-7453
Mailing address
104 POWELTON AVE, WOODLYNNE, NJ 08107-2227
(856) 952-2996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01244600
NJ
Other
Enumeration date
01/11/2022
Last updated
05/05/2022
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