Individual provider · Type 1 NPI

Laura Elizabeth Blackwell

Family Nurse Practitioner · Jackson, TN

NPI number 1235700741 Active

Practice location

619 Skyline Dr
Jackson, TN 38301-3903

Fax (731) 882-5052

Mailing address

PO Box 400
Jackson, TN 38302-0400

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X30421 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1235700741

Laura Elizabeth Blackwell's National Provider Identifier is 1235700741, issued on Jul 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Nov 20, 2025.