Blackwell, Jeaninne

Blackwell, Jeaninne is an sole proprietor health care provider with primary practice located at 1010 Dulaney Valley Rd , Towson MD 21204-2702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blackwell, Jeaninne can be contacted via phone (410) 567-1117.

Contact Information

Primary practice address
1010 Dulaney Valley Rd Towson MD 21204-2702
Phone: (410) 567-1117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2313081 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R205720 Maryland

Profile Details

NPI number 1003144171
LBN Legal business name Blackwell, Jeaninne
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2009
Last updated Dec 5th, 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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