Blackmon, Maribelle M

Blackmon, Maribelle M is an individual health care provider with primary practice located at 1226 Progressive Dr Ste 101 , Chesapeake VA 23320-2847. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackmon, Maribelle M can be contacted via phone (757) 609-3301.

Contact Information

Primary practice address
1226 Progressive Dr Ste 101 Chesapeake VA 23320-2847
Phone: (757) 609-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172045 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024172045 Virginia

Profile Details

NPI number 1972905305
LBN Legal business name Blackmon, Maribelle M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Feb 27th, 2020 - about 4 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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