Individual provider · Type 1 NPI

Vickie C. Blackburn, NP

Nurse Practitioner · Rock Hill, SC

NPI number 1487656708 Active

Practice location

1721 Ebenezer Rd Ste 175
Rock Hill, SC 29732-1188

Call (803) 324-5256 Map

Fax (803) 328-0440

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X2650 (SC)
Nurse Practitioner Primary 363L00000X2650 (SC)
Nurse Practitioner 363L00000X5014444 (NC)

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 1487656708

Vickie C. Blackburn, NP's National Provider Identifier is 1487656708, issued on Jun 1, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rock Hill, SC. The record was last updated on Jul 9, 2026.