Katie Blackburn

NPI #1982154670 in Madison, Tennessee

Provider Information

NPI Number: 1982154670
Entity Type: Individual
Name: Katie Blackburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 620 GALLATIN PIKE S
City: Madison
State: Tennessee
ZIP Code: 37115-4013
Phone: (615) 460-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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