person
Ryan Blackburn
Student in an Organized Health Care Education/Training Program in Hattiesburg, Mississippi
NPI 1326703646

Ryan Blackburn is a Student in an Organized Health Care Education/Training Program based in Hattiesburg, MS. Ryan Blackburn practices in Hattiesburg, MS. The NPI Number for Ryan Blackburn is 1326703646 and holds a License No. (Mississippi).

The current practice location address for Ryan Blackburn is 33 Ashborough Ln, Hattiesburg, MS and can be reached out via phone at 601-818-8879.

Location: 33 Ashborough Ln, Hattiesburg, MS, 39402-8463
person
Provider Profile Details
NPI Number
1326703646
Provider Name
Ryan Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
33 Ashborough Ln, Hattiesburg, MS, 39402-8463
Phone Number
601-818-8879
Fax Number
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33 Ashborough Ln
City
State
Zip
39402-8463
Phone Number
601-818-8879
Fax Number
person
Provider Business Mailing Address Details
Address
33 Ashborough Ln
City
State
Zip
39402-8463
Phone Number
601-818-8879
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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