person
Van Tyler Blackaby
Psychiatric/Mental Health Nurse Practitioner in Knoxville, Tennessee
NPI 1205272010

Van Tyler Blackaby is a Psychiatric/Mental Health Nurse Practitioner based in Knoxville, TN and is specialized in Psychiatric/Mental Health. Van Tyler Blackaby practices in Knoxville, TN. The NPI Number for Van Tyler Blackaby is 1205272010 and holds a License No. APN0000036184 (Tennessee).

The current practice location address for Van Tyler Blackaby is 201 W Springdale Ave, Knoxville, TN and can be reached out via phone at 865-637-9711.

Location: 201 W Springdale Ave, Knoxville, TN, 37917-2357
person
Provider Profile Details
NPI Number
1205272010
Provider Name
Van Tyler Blackaby
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 W Springdale Ave, Knoxville, TN, 37917-2357
Phone Number
865-637-9711
Fax Number
Provider Enumeration Date
05/20/2013
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
201 W Springdale Ave
City
State
Zip
37917-5158
Phone Number
865-637-9711
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Springdale Ave
City
State
Zip
37917-5158
Phone Number
865-637-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APN0000036184 (Tennessee)
Definition
Definition to come...
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