Individual provider · Type 1 NPI

Kimberly Nicole Blackwell, PA-C

Physician Assistant · Wilmington, NC

NPI number 1487439089 Active

Practice location

613 Shipyard Blvd Ste 106
Wilmington, NC 28412-6491

Call (910) 202-3068 Map

Mailing address

615 Shipyard Blvd Ste 106
Wilmington, NC 28412-6431

Other practice locations

  • 7910 US Hwy 117 S, Rocky Point, NC 28457-9431 · (910) 259-0668
  • 615 Shipyard Blvd, Wilmington, NC 28412-6431 · (910) 343-0145
  • 7910 US Hwy 117 S # A, Rocky Point, NC 28457-9431 · (910) 259-0668
  • 1414 Medical Center Dr, Wilmington, NC 28401-7505 · (910) 790-9949
  • 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 · (910) 754-4515

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-15641 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487439089

Kimberly Nicole Blackwell, PA-C's National Provider Identifier is 1487439089, issued on Aug 30, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on Oct 21, 2025.