Individual
STACY BLACKBURN VALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 896-9254
(504) 896-3997
Mailing address
3732 ANNETTE DR, METAIRIE, LA 70001-3853
(504) 617-0293
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
149407
LA
363LF0000X
Family Nurse Practitioner
Primary
240361
LA
Other
Enumeration date
12/27/2024
Last updated
05/20/2025
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