MRS. Amanda J. Blackburn, PA-C

NPI #1912994260 in Jackson, Kentucky

Provider Information

NPI Number
1912994260
Entity Type
Individual
Name
MRS. Amanda J. Blackburn, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 3, 2005
Last Updated
May 19, 2022

Practice Location

Address
1484 LAKESIDE DR
ZIP Code
41339-6555
Phone
(606) 666-9950

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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