Individual provider · Type 1 NPI

Leasa Lasae Blackmon, RN

Psychiatric/Mental Health Registered Nurse · Athens, GA

NPI number 1689420424 Active

Practice location

240 Mitchell Bridge Rd
Athens, GA 30606-2043

Call (770) 910-9196 Map

Fax (678) 682-8747

Mailing address

PO Box 490182
Lawrenceville, GA 30049-0004

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	221219 (GA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1689420424

Leasa Lasae Blackmon, RN's National Provider Identifier is 1689420424, issued on Apr 24, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Athens, GA. The record was last updated on Apr 24, 2024.