Individual provider · Type 1 NPI

Madeline Wooten Blackwell, PA-C

Surgical Physician Assistant · Paducah, KY

NPI number 1053046946 Active

About NPI 1053046946

Madeline Wooten Blackwell, PA-C's National Provider Identifier is 1053046946, issued on Jul 23, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Paducah, KY. The record was last updated on Jan 12, 2026.