MEDICARE: ALLIE BLACKWELL RN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	17693	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497194740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLIE BLACKWELL RN, FNP-BC

Provider Business Mailing Address
First Line	:	701 PROFESSIONAL PLAZA DR STE 2
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-5104
Country	:	US
Telephone Number	:	423-609-7815
Fax Number	:	423-609-7816

Provider Business Practice Location Address
First Line	:	701 PROFESSIONAL PLAZA DR
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-5101
Country	:	US
Telephone Number	:	423-609-7815
Fax Number	:	423-609-7816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	02/04/2026

Similar Medicare Providers

1710963277 — DAVID HASKELL BEALS MD
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745

Practice Phone: 423-787-5000
Practice Fax:

1982609129 — DR. RUSSELL EDWARD PERRY M.D.
Practice Location Address:

1231 TUSCULUM BLVD
GREENEVILLE, TN
37745-4137

Practice Phone: 423-639-9970
Practice Fax: 423-639-4281

1679578645 — MICHELLE D BAREFIELD P.T.
Practice Location Address:

223 NORTH MAIN STREET
GREENEVILLE, TN
37745

Practice Phone: 423-798-0563
Practice Fax: 423-798-9602

1558368175 — MARY J STOKLEY LCSW
Practice Location Address:

91 JACKSON LN E
GREENEVILLE, TN
37745-5300

Practice Phone: 423-787-0238
Practice Fax: 423-787-0796

1114924222 — LOGAN E HYATT PA
Practice Location Address:

555 JUSTIS DR
GREENEVILLE, TN
37745-4288

Practice Phone: 423-254-6460
Practice Fax: 833-908-2070

1629078498 — RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Practice Location Address:

580 VAN HILL RD
GREENEVILLE, TN
37745-7608

Practice Phone: 423-234-1020
Practice Fax: 423-234-0646

Directions to “ ALLIE BLACKWELL RN, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.