Individual provider · Type 1 NPI

Melissa Michelle Blackmon, NP-C

Nurse Practitioner · West Columbia, SC

NPI number 1477816668 Active

Practice location

222 E Medical Ln Ste 100&200
West Columbia, SC 29169-4847

Fax (803) 936-7816

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17870 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477816668

Melissa Michelle Blackmon, NP-C's National Provider Identifier is 1477816668, issued on Jun 21, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Columbia, SC. The record was last updated on Oct 13, 2020.