Individual provider · Type 1 NPI

Kisharra Blackwell

Licensed Practical Nurse · Hubbard, OH

NPI number 1164317780 Active

Practice location

1182 Trails Edge Dr
Hubbard, OH 44425-3359

Call (330) 391-2522 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X190826 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164317780

Kisharra Blackwell's National Provider Identifier is 1164317780, issued on Jun 12, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hubbard, OH. The record was last updated on Jun 12, 2025.