NPI 1780445585

Mariah Denise Blackwell, CNA

Practitioner Nurse's Aide Humboldt, TN

Practice location

Address: 2865 E Main St, Humboldt, TN 38343-3070
Phone: (721) 784-8405
Mailing address: 20 Martin Rd, Milan, TN 38358-5524

Registered specialties (2)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

Other Nurse's Aide providers in Tennessee →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Tennessee →

Registry record

NPI: 1780445585
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2024
Record last updated: 16 Jan 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.