Individual provider · Type 1 NPI

Rickey Allen Blackburn Jr., CRNP

Family Nurse Practitioner · Evergreen, AL

NPI number 1841715430 Active

Practice location

102 Edwina St
Evergreen, AL 36401-3319

Call (251) 578-0220 Map

Fax (251) 578-0223

Other practice locations

  • 225 Patterson Ave, Georgiana, AL 36033-6628 · (334) 376-2005
  • 101 Crestview Ave, Evergreen, AL 36401-3333 · (251) 578-2480

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-131157 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1841715430

Rickey Allen Blackburn Jr., CRNP's National Provider Identifier is 1841715430, issued on Aug 4, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evergreen, AL. The record was last updated on Jul 25, 2024.