MICHELLE ELAINE BLACKWOOD NNP NPI 1417971912

NPI Information

NPI: 1417971912
Provider Name: MICHELLE ELAINE BLACKWOOD, NNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
Phone: (717) 531-6807
Get Directions

Michelle Elaine Blackwood, NNP is a family nurse practitioner in Hershey, PA. Michelle Elaine Blackwood, NNP NPI is 1417971912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033-360
Phone: (717) 531-6807

The NPI 1417971912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WN0002X	Registered Nurse	Neonatal Intensive Care	028145	ILLINOIS	No
2	363L00000X	Nurse Practitioner		SP028660	PENNSYLVANIA	No
3	363LN0000X	Nurse Practitioner	Neonatal	11733	TENNESSEE	No
4	363LN0000X	Nurse Practitioner	Neonatal	225161	LOUISIANA	No
5	363LF0000X	Nurse Practitioner	Family	028145	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	620476822	OTHER	TENNESSEE	VMG TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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