Jeaninne Blackwell
Nurse Practitioner - Psychiatric/Mental Health
1010 Dulaney Valley Rd
Towson
, Maryland 21204-2702
Jeaninne Blackwell
Nurse Practitioner - Psychiatric/Mental Health
1010 Dulaney Valley Rd
Towson
, Maryland 21204-2702
(443) 201-1991
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jeaninne Blackwell
- 210 W Pennsylvania Ave Ste 100
- Towson, MD
- Zip : 21204-4507
- Phone : (443) 201-1991
Second Address
- Jeaninne Blackwell
- 1010 Dulaney Valley Rd
- Towson, MD
- Zip : 21204-2702
- Phone : (410) 567-1117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R205720 | MD |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2313081 | MA |
National Provider Identifier
| NPI | 1003144171 |
|---|---|
| Provider Name | Jeaninne Blackwell |
| First Address | Towson, MD 21204-4507 |
| Second Address | Towson, MD 21204-2702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2009 |
| Last Update Date | 05/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.