Blackwell, Allie

Blackwell, Allie is an individual health care provider with primary practice located at 97 Great Teays Blvd Ste 6 , Scott Depot WV 25560-9816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blackwell, Allie can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17693 Tennessee

Profile Details

NPI number 1497194740
LBN Legal business name Blackwell, Allie
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated Jul 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497194740 NPPES
West Virginia MEDICAID 1497194740

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