Blackwood, Tecshana Nicola

Blackwood, Tecshana Nicola is an individual health care provider with primary practice located at 1 Long Wharf Dr Ste 212 , New Haven CT 06511-5593. She recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blackwood, Tecshana Nicola can be contacted via phone (203) 624-4208.

Contact Information

Primary practice address
1 Long Wharf Dr Ste 212 New Haven CT 06511-5593
Phone: (203) 624-4208
Fax: (203) 624-4301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 020717 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0038009 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3809 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020717-1 New York

Profile Details

NPI number 1124550983
LBN Legal business name Blackwood, Tecshana Nicola
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2017
Last updated Apr 23rd, 2019 - about 6 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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