Mariah Denise Blackwell, CNA

NPI #1780445585 in Humboldt, Tennessee

Provider Information

NPI Number: 1780445585
Entity Type: Individual
Name: Mariah Denise Blackwell, CNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse's Aide
Credential: CNA
Enumeration Date: Jan 18, 2024
Last Updated: Jan 16, 2026

Practice Location

Address: 2865 E MAIN ST
City: Humboldt
State: Tennessee
ZIP Code: 38343-3070
Phone: (721) 784-8405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Nurse's Aide	376K00000X	Primary

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