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Individual

MICHELLE ANN BLACKMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-3729
Mailing address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-3729

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A086051
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.000001
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G086051
IA

Other

Enumeration date
11/26/2013
Last updated
08/04/2020
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