Individual provider · Type 1 NPI

Blen D. Blackwell, PA-C

Physician Assistant · Hattiesburg, MS

NPI number 1811217409 Active

Practice location

3688 Veterans Memorial Dr., Suite 200
Hattiesburg, MS 39401

Call (601) 554-7400 Map

Fax (601) 554-7499

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00132 (MS)

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 1811217409

Blen D. Blackwell, PA-C's National Provider Identifier is 1811217409, issued on Jun 4, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 20, 2013.