NPI 1003144171

Jeaninne Blackwell, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Towson, MD

Practice location

Address: 1010 Dulaney Valley Rd, Towson, MD 21204-2702
Phone: (410) 567-1117
Mailing address: 210 W Pennsylvania Ave STE 100, Towson, MD 21204-4507

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence R205720 (MD)

Other Nurse Practitioner providers in Maryland →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence RN2313081 (MA)

Registry record

NPI: 1003144171
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2009
Record last updated: 5 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.