Individual
JAMIE LAWSON BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
65 SPRINGFIELD RD, WESTFIELD, MA 01085-1855
(413) 562-8330
(413) 562-3430
Mailing address
65 SPRINGFIELD RD, WESTFIELD, MA 01085-1855
(413) 562-8330
(413) 562-3430
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R203633
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2325703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110150352A
—
MA
Enumeration date
07/23/2016
Last updated
04/19/2019
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