Individual
MRS. SHEILA R BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3849058
—
TN
Enumeration date
03/18/2010
Last updated
04/02/2019
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