MRS. Jessie Leyla Blackmon, CRNP
NPI #1811460173 in Vestavia Hls, Alabama
Provider Information
- NPI Number
- 1811460173
- Entity Type
- Individual
- Name
- MRS. Jessie Leyla Blackmon, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Jan 22, 2022
Practice Location
- Address
- 1940 STONEGATE DR STE 130
- City
- Vestavia Hls
- State
- Alabama
- ZIP Code
- 35242-2541
- Phone
- (205) 977-9876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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