De Etta Lynn Blakenship

Case Manager/Care Coordinator · Decatur, AL

Individual Active NPI

NPI number 1376731299

Practice location

1315 13TH Ave SE
Decatur, AL 35601-4308
Phone
(256) 355-6105

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NPI record

NPI
1376731299
Entity type
Individual (Type 1)
Enumeration date
October 4, 2007
Last updated
October 4, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X CASE MANAGER —

Mailing address

1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone
(256) 355-6105

About De Etta Blakenship

De Etta Lynn Blakenship is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1315 13TH Ave SE, Decatur, AL 35601-4308. The NPI number 1376731299 was assigned on October 4, 2007 and the record was last updated on October 4, 2007.

De Etta Blakenship lists a license in the registry: #CASE MANAGER for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of De Etta Lynn Blakenship?

The NPI number is 1376731299.

What is the phone number of De Etta Blakenship?

The phone number listed for the practice location is (256) 355-6105.

Where is De Etta Blakenship located?

1315 13TH Ave SE, Decatur, AL 35601-4308.

What is the taxonomy code for De Etta Blakenship?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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