NPI 1033949243

Taiyonna Marshea Lynnese Blackmon, LPN

Practitioner Licensed Practical Nurse Saint Louis, MO

Practice location

Address: 4577 Carter Ave, Saint Louis, MO 63115-2516
Phone: (314) 410-9117

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2020033205 (MO)

Other Licensed Practical Nurse providers in Missouri →

Registry record

NPI: 1033949243
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2024
Record last updated: 2 Aug 2024

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.