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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY BLACKBURN

Active Sole Proprietor

MR. JERRY BLACKBURN is a Health & Wellness Coach healthcare provider located in EUREKA, California. NPI 1164372538 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · EUREKA, CA

Registration Details

NPI Number
1164372538
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2026 (0.57115233375472 yrs)
Last Updated
Feb 3, 2026
Sole Proprietor
Yes

Practice Information

Address
2100 J ST
EUREKA, CA, 955013055
Browse CA providers · Browse ZIP 95501
Phone
7074412400
Primary Specialty
Health & Wellness Coach
171400000X

Other Health & Wellness Coach Providers in EUREKA, CA

Name Credential NPI
LEIGHA EVERS 1881824878
JANE HUANG 1962193425
VAIL KRYGSMAN 1639908726
DREW DUNCAN 1487463253
SIMCHA MENDLE 1912793712
KAREN SHEEHY 1396532933
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.