HomeNPI Verification

NPI Verification

National Provider Identifier: 1205411766

Jean D Blackmon, RN

Individual Provider

Credentials

Primary Specialty

Registered Nurse, Urology

Code: 163WU0100X

Practice Address

1551 BEN SAWYER BLVD UNIT 5G

MT PLEASANT, SC 294645508

Phone: 843-367-9938

NPI Enumeration Date

March 16, 2021

NPI Number

1205411766

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry