Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY COSTELLO BLACKMON, APRN
ActiveKELLY COSTELLO BLACKMON, APRN is a Nurse Practitioner healthcare provider located in WAYCROSS, Georgia. NPI 1992110688 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WAYCROSS, GA
Registration Details
- NPI Number
- 1992110688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2014 (12.124445775612 yrs)
- Last Updated
- Oct 15, 2025
- Licenses
-
APRN-NP124057 (GA)APRN-NP124057 (GA)
Practice Information
- Address
-
1706 ALICE STWAYCROSS, GA, 315015216Browse GA providers · Browse ZIP 31501
- Phone
- 9122851140
- Fax
- 9122851125
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in WAYCROSS, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ANDREA D MOODY | N.P. | 1285660365 |
| CONNIE M BUSSEY | NP | 1942239587 |
| PAMELA B CARTER | NP | 1073543435 |
| MRS. OLIVIA RUTH GIBSON | RN/APRN | 1942233762 |
| NANCY W FUTCH | NP | 1568496057 |
| DEIRDRE K O'BRIEN | NP-C | 1366636664 |
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.