| Doctor Name: | HEATHER DAWN BLAIR |
| NPI Number: | 1629318324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0024170616 |
| Business Practice Address: | 364 Hospital Dr Clintwood, VA - 24228 |
| Business Phone Number: | 2769260200 |
| Business Fax Number: | 2769266675 |
| Mailing Address: | Po Box 1315, JOHNSON CITY |
| State: | TN |
| Postal Code: | 376051315 |
| Phone Number: | 4239522122 |
| Fax Number: | 4239522145 |
| NPI Enumeration Date: | 02/18/2013 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024170616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |