Active NPI
Jessica Blackburn
- Acute Care Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1235049255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 324419
- Practice address
- 2200 Medical Center Blvd Ste 200
Lawrenceville, GA 30046-7765 - Phone
- (404) 845-8200
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 324419 | GA | Primary |
Addresses
Primary practice location
2200 Medical Center Blvd Ste 200
Lawrenceville, GA 30046-7765
Mailing address
891 Winding Rose Dr
Hoschton, GA 30548-4450
Phone (678) 449-4375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1235049255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 WINDING ROSE DR",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305484450",
"telephone_number": "678-449-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MEDICAL CENTER BLVD STE 200",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467765",
"telephone_number": "404-845-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "324419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.