Individual provider · Type 1 NPI
Tonisha Blackman
Licensed Practical Nurse · Plymouth, MI
NPI number
1356283733
Active
Practice location
42360 Ann Arbor Rd E # 120
Plymouth, MI 48170-4303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703113460 (MI) |
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.
Another provider at this address
Other licensed practical nurse providers in Plymouth
About NPI 1356283733
Tonisha Blackman's National Provider Identifier is 1356283733, issued on Apr 7, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth, MI. The record was last updated on Apr 7, 2026.