Individual
JEMIMA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 OPAL COURT, HAGERSTOWN, MD 21740
(240) 420-2666
Mailing address
1126 OPAL CT, HAGERSTOWN, MD 21740-5940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R220599
MD
Other
Enumeration date
04/22/2016
Last updated
08/15/2025
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