Individual provider · Type 1 NPI

Diera Blackwell, LPN

Licensed Practical Nurse · Walterboro, SC

NPI number 1851976419 Active

Practice location

377 Crystal Ln
Walterboro, SC 29488-8972

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X51686 (SC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1851976419

Diera Blackwell, LPN's National Provider Identifier is 1851976419, issued on Mar 16, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Walterboro, SC. The record was last updated on Mar 16, 2021.