Individual provider · Type 1 NPI

Jessica Blackburn

Acute Care Nurse Practitioner · Lawrenceville, GA

NPI number 1235049255 Active

Practice location

2200 Medical Center Blvd Ste 200
Lawrenceville, GA 30046-7765

Mailing address

891 Winding Rose Dr
Hoschton, GA 30548-4450

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X324419 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1235049255

Jessica Blackburn's National Provider Identifier is 1235049255, issued on Sep 10, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 10, 2026.