person
Dr. Marissa Blackwell, MD
Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia
NPI 1275094294

Marissa Blackwell is a Student in an Organized Health Care Education/Training Program based in Charlottesville, VA. Marissa Blackwell practices in Charlottesville, VA and has the professional credentials of MD. The NPI Number for Marissa Blackwell is 1275094294 and holds a License No. 0116038303 (Virginia).

The current practice location address for Marissa Blackwell is 1215 Lee St. Neurology 800394, Charlottesville, VA and can be reached out via phone at 434-924-5306 and via fax at 434-982-1064.

Location: 1215 Lee St. Neurology 800394, Charlottesville, VA, 22908-0816
person
Provider Profile Details
NPI Number
1275094294
Provider Name
Marissa Blackwell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1215 Lee St. Neurology 800394, Charlottesville, VA, 22908-0816
Phone Number
434-924-5306
Fax Number
434-982-1064
Provider Enumeration Date
03/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 Lee St. Neurology 800394
City
State
Zip
22908-1544
Phone Number
434-924-5306
Fax Number
434-982-1064
person
Provider Business Mailing Address Details
Address
1215 Lee St. Neurology 800394
City
State
Zip
22908-1544
Phone Number
434-924-5306
Fax Number
434-982-1064
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0116038303 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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