Individual
JULIA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 MAIN ST, GATESVILLE, NC 27938-9424
(252) 357-1226
(252) 357-1236
Mailing address
PO BOX 297, GATESVILLE, NC 27938-0297
(252) 357-1226
(252) 357-1236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024182506
VA
363LF0000X
Family Nurse Practitioner
Primary
5015584
NC
Other
Enumeration date
10/14/2021
Last updated
01/26/2022
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