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Individual

MRS. HEATHER LEANNE-CRABTREE BLAKELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
801 E WATAUGA AVE # 2, JOHNSON CITY, TN 37601-4113
(423) 773-9779
Mailing address
801 E WATAUGA AVE # 2, JOHNSON CITY, TN 37601-4113
(423) 773-9779

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024194275
VA
363LF0000X
Family Nurse Practitioner
Primary
15199788
TN

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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