MS. Michelle Jeanne Blackman, ARNP

NPI #1366622086 in Omaha, Nebraska

Provider Information

NPI Number: 1366622086
Entity Type: Individual
Name: MS. Michelle Jeanne Blackman, ARNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ARNP
Enumeration Date: Nov 9, 2007
Last Updated: May 23, 2016

Practice Location

Address: 4101 WOOLWORTH AVE
City: Omaha
State: Nebraska
ZIP Code: 68105-1850
Phone: (402) 995-4309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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