Jacob Blackmon, CCP is a perfusionist in Dallas, TX. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. Jacob Blackmon, CCP NPI is 1053130930. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8200 WALNUT HILL LN DALLAS, TX ZIP 75231-402 Phone: (214) 345-6789
The enumeration date for this NPI number is 10/7/2024 and was last updated on 10/7/2024.
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:
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: 11/21/2025
NPI Synchronization or Removal
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