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Jessica Blackburn
NPI 1194110742 · on the registry since 2015 · sole proprietor
Practice
- Address
- 447 W Longleaf Dr Apt 1105
Auburn, AL 36832 - Phone
- (706) 616-7889
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama