Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY NICOLE BLACKWELL, PA-C
ActiveKIMBERLY NICOLE BLACKWELL, PA-C is a Physician Assistant healthcare provider located in WILMINGTON, North Carolina. NPI 1487439089 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILMINGTON, NC
Registration Details
- NPI Number
- 1487439089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2023 (2.9476871461227 yrs)
- Last Updated
- Oct 21, 2025
- License
-
0010-15641 (NC)
Practice Information
- Address
-
613 SHIPYARD BLVD STE 106WILMINGTON, NC, 284126491Browse NC providers · Browse ZIP 28412
- Phone
- 9102023068
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY BROWN FARMER | PA-C | 1851395198 |
| DANIEL IRVING SHAPIRO | PA-C | 1902805906 |
| JOHN T HOARD | P.A. | 1598764599 |
| KYRA F WILLIAMS | PA-C | 1992704902 |
| LUTHER W FREAS | PA-C | 1205835204 |
| DANIEL ANDREW CULBRETH | PA | 1982606638 |
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.