Blackmon, Jean D

Blackmon, Jean D is an sole proprietor health care provider with primary practice located at 1551 Ben Sawyer Blvd Unit 5G , Mt Pleasant SC 29464-5508. She recently has only one registered license in Nursing Service Providers / Urology, which is considered as her primary health care specialty. Blackmon, Jean D can be contacted via phone (843) 367-9938.

Contact Information

Primary practice address
1551 Ben Sawyer Blvd Unit 5G Mt Pleasant SC 29464-5508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 104325 South Carolina

Profile Details

NPI number 1205411766
LBN Legal business name Blackmon, Jean D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 3 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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