Blackburn, Vickie Marie

Blackburn, Vickie Marie is an individual health care provider with primary practice located at 1721 Ebenezer Rd Ste 175, Rock Hill SC 29732-4103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blackburn, Vickie Marie can be contacted via phone (803) 324-5256.

Contact Information

Primary practice address
1721 Ebenezer Rd Ste 175 Rock Hill SC 29732-4103
Phone: (803) 324-5256
Fax: (803) 328-0440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2650 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2650 South Carolina

Profile Details

NPI number 1487656708
LBN Legal business name Blackburn, Vickie Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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