person
Rickey Allen Blackburn JR., CRNP
Family Nurse Practitioner in Evergreen, Alabama
NPI 1841715430

Rickey Allen Blackburn JR. is a Family Nurse Practitioner based in Evergreen, AL and is specialized in Family. Rickey Allen Blackburn JR. practices in Evergreen, AL and has the professional credentials of CRNP. The NPI Number for Rickey Allen Blackburn JR. is 1841715430 and holds a License No. 1-131157 (Alabama).

The current practice location address for Rickey Allen Blackburn JR. is 102 Edwina St, Evergreen, AL and can be reached out via phone at 251-578-0220 and via fax at 251-578-0223.

Location: 102 Edwina St, Evergreen, AL, 36401-3319
person
Provider Profile Details
NPI Number
1841715430
Provider Name
Rickey Allen Blackburn JR.
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
102 Edwina St, Evergreen, AL, 36401-3319
Phone Number
251-578-0220
Fax Number
251-578-0223
Provider Enumeration Date
08/04/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
102 Edwina St
City
State
Zip
36401-3319
Phone Number
251-578-0220
Fax Number
251-578-0223
person
Provider Business Mailing Address Details
Address
102 Edwina St
City
State
Zip
36401-3319
Phone Number
251-578-0220
Fax Number
251-578-0223
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-131157 (Alabama)
Definition
Definition to come...
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