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Katie Blackburn

Community Health Worker in Madison, TN. Individual provider (NPI-1).

NPI number1982154670
StatusActive
Last updated in NPPESOct 6, 2016

Details

NPI
1982154670
Entity type
Individual (NPI-1)
Name
Katie Blackburn
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2016
Last updated
Oct 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

620 Gallatin Pike S
Madison, TN 37115-4013

Phone 615-460-4300

Mailing address

620 Gallatin Pike S
Madison, TN 37115-4013

Phone 615-460-4300

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Madison, TN

All 9 Community Health Worker providers in Madison · All 1,114 providers in Madison

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