Melissa Michelle Blackmon, NP-C Valid NPI

Individual provider · Nurse Practitioner · West Columbia, SC

NPI

1477816668

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

17870 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2012-06-21

Last updated

2020-10-13