Individual
JANIS S BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
29677 LYONS DR, EASTON, MD 21601-4743
(443) 786-0597
Mailing address
29677 LYONS DR, EASTON, MD 21601-4743
(443) 786-0597
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R088001
MD
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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