Individual provider · Type 1 NPI

Davaul Blackmon

Acute Care Nurse Practitioner · Montgomery, AL

NPI number 1700771847 Active

Practice location

2105 E South Blvd
Montgomery, AL 36116-2409

Mailing address

310 Telluride Ln
Midland City, AL 36350-7034

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2025023280 (AL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1700771847

Davaul Blackmon's National Provider Identifier is 1700771847, issued on Jun 10, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Montgomery, AL. The record was last updated on Jan 17, 2026.