Individual provider · Type 1 NPI

Jeaninne Blackwell, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Towson, MD

NPI number 1003144171 Active

Practice location

1010 Dulaney Valley Rd
Towson, MD 21204-2702

Mailing address

210 W Pennsylvania Ave Ste 100
Towson, MD 21204-4507

Other practice locations

  • 210 W Pennsylvania Ave Ste 100, Towson, MD 21204-4507 · (443) 201-1991

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN2313081 (MA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR205720 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003144171

Jeaninne Blackwell, PMHNP-BC's National Provider Identifier is 1003144171, issued on Nov 30, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Towson, MD. The record was last updated on Dec 5, 2021.