Individual
MR. SHAWN ROBERT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-BC
Contact information
Practice address
4815 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(681) 265-1693
(681) 265-0990
Mailing address
4815 MACCORKLE AVE SE, CHARLESTON, WV 25304-1948
(681) 265-1693
(681) 265-0990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN82678-FNP-BC
WV
Other
Enumeration date
07/19/2016
Last updated
08/22/2023
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