Individual provider · Type 1 NPI
Ashley Blalock
Primary Care Nurse Practitioner · Friendship, TN
NPI number
1679931414
Active
Practice location
4903 Bruceville Slab Rd
Friendship, TN 38034-4325
Mailing address
2373 Augusta St
Dyersburg, TN 38024-8942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21250 (TN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 21250 (TN) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1679931414
Ashley Blalock's National Provider Identifier is 1679931414, issued on Feb 8, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Friendship, TN. The record was last updated on Apr 15, 2022.