Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEAN D BLACKMON, RN
Active Sole ProprietorUrology Nurse · MT PLEASANT, SC
Registration Details
- NPI Number
- 1205411766
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2021 (5.1032351324277 yrs)
- Last Updated
- Mar 16, 2021
- License
-
104325 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1551 BEN SAWYER BLVD UNIT 5GMT PLEASANT, SC, 294645508Browse SC providers · Browse ZIP 29464
- Phone
- 8433679938
- Primary Specialty
-
Urology Nurse
163WU0100X
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.