MS. JEAN D BLACKMON RN NPI 1205411766

NPI Information

  • NPI: 1205411766
  • Provider Name: MS. JEAN D BLACKMON, RN
  • Classification: Registered Nurse - 163WU0100X
  • Specialization: Urology
  • Entity Type: Individual
  • Address: 1551 BEN SAWYER BLVD UNIT 5G
    MT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 367-9938

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NPI Details

MS. Jean D Blackmon, RN is an urology registered nurse in Mt Pleasant, SC. MS. Jean D Blackmon, RN NPI is 1205411766. 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:

1551 BEN SAWYER BLVD UNIT 5G
MT PLEASANT, SC
ZIP 29464-508
Phone: (843) 367-9938

The enumeration date for this NPI number is 3/16/2021 and was last updated on 3/16/2021.

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
1163WU0100XRegistered NurseUrology104325SOUTH CAROLINAYes

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: 11/21/2025

NPI Synchronization or Removal

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