Individual provider · Type 1 NPI

Mariah Denise Blackwell, CNA

Nurse's Aide · Humboldt, TN

NPI number 1780445585 Active

Practice location

2865 E Main St
Humboldt, TN 38343-3070

Call (721) 784-8405 Map

Mailing address

20 Martin Rd
Milan, TN 38358-5524

Other practice locations

  • 29639 Broad St, Bruceton, TN 38317-2203 · (925) 727-3712

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

24 other providers at this address

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About NPI 1780445585

Mariah Denise Blackwell, CNA's National Provider Identifier is 1780445585, issued on Jan 18, 2024. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Humboldt, TN. The record was last updated on Jan 16, 2026.