Individual provider · Type 1 NPI

Jessica Blackwill, APRN

Family Nurse Practitioner · Kingman, KS

NPI number 1114584802 Active

Practice location

750 W D Ave
Kingman, KS 67068-1266

Fax (855) 483-0002

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	53-78792-101 (KS)

Family Nurse Practitioner: Definition to come...

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Dennis Kalmar, PA-CPhysician Assistant Kingman, KS NPI 1376112896

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About NPI 1114584802

Jessica Blackwill, APRN's National Provider Identifier is 1114584802, issued on May 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingman, KS. The record was last updated on Sep 3, 2025.