Individual
DANIELLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
610 AIRPORT RD SW # 210, HUNTSVILLE, AL 35802-4304
(256) 882-1785
Mailing address
2747 WHISTLER LN SE, HAMPTON COVE, AL 35763-9386
(517) 301-0630
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-160984
AL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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