NPI 1164372538
Jerry Blackburn
Practice location
- Address
- 2100 J St, Eureka, CA 95501-3055
- Phone
- (707) 441-2400
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1164372538
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Feb 2026
- Record last updated
- 3 Feb 2026
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.