person
Mrs. Bonnie Lynn Blackburn, PA
Student in an Organized Health Care Education/Training Program in Buckhannon, West Virginia
NPI 1386270908

Bonnie Lynn Blackburn is a Student in an Organized Health Care Education/Training Program based in Buckhannon, WV. Bonnie Lynn Blackburn practices in Buckhannon, WV and has the professional credentials of PA. The NPI Number for Bonnie Lynn Blackburn is 1386270908 and holds a License No. 2411 (West Virginia).

The current practice location address for Bonnie Lynn Blackburn is 10 Amalia Dr Ste C5, Buckhannon, WV and can be reached out via phone at 304-460-7948 and via fax at 304-460-7908.

Location: 10 Amalia Dr Ste C5, Buckhannon, WV, 26201-2239
person
Provider Profile Details
NPI Number
1386270908
Provider Name
Bonnie Lynn Blackburn
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
10 Amalia Dr Ste C5, Buckhannon, WV, 26201-2239
Phone Number
304-460-7948
Fax Number
304-460-7908
Provider Enumeration Date
03/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Amalia Dr Ste C5
City
State
Zip
26201-2270
Phone Number
304-460-7948
Fax Number
304-460-7908
person
Provider Business Mailing Address Details
Address
10 Amalia Dr Ste C5
City
State
Zip
26201-2270
Phone Number
304-460-7948
Fax Number
304-460-7908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
2411 (West 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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