MICHELLE ELAINE BLACKWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028145

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ELAINE

Last Name

BLACKWOOD

Business Name

MICHELLE ELAINE BLACKWOOD

Original Issue Date

08/21/2023

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

MEMPHIS

State

Zip

38103

Ever Disciplined

LastModifiedDate

03/02/2026