Individual provider · Type 1 NPI
Maribelle M. Blackmon, NP
Family Nurse Practitioner · Chesapeake, VA
NPI number
1972905305
Active
Practice location
1226 Progressive Dr Ste 101
Chesapeake, VA 23320-2847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024172045 (VA) |
| Primary Care Nurse Practitioner | 363LP2300X | 0024172045 (VA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1972905305
Maribelle M. Blackmon, NP's National Provider Identifier is 1972905305, issued on Sep 17, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chesapeake, VA. The record was last updated on Feb 27, 2020.