Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSIE LEYLA BLACKMON, CRNP
Active Sole ProprietorMRS. JESSIE LEYLA BLACKMON, CRNP is a Family Nurse Practitioner healthcare provider located in VESTAVIA HLS, Alabama. NPI 1811460173 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · VESTAVIA HLS, AL
Registration Details
- NPI Number
- 1811460173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2019 (7.5880647033379 yrs)
- Last Updated
- Jan 22, 2022
- Licenses
-
1-162172 (AL)F09201154 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1940 STONEGATE DR STE 130VESTAVIA HLS, AL, 352422541Browse AL providers · Browse ZIP 35242
- Phone
- 2059779876
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in VESTAVIA HLS, AL
| Name | Credential | NPI |
|---|---|---|
| JAMES BRADLEY MADDOX | — | 1013475508 |
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.