Individual
JEANINNE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1010 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(410) 567-1117
Mailing address
210 W PENNSYLVANIA AVE STE 100, TOWSON, MD 21204-4507
(443) 201-1991
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205720
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2313081
MA
Other
Enumeration date
11/30/2009
Last updated
12/05/2021
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