Rosalind Blackmon
Individual provider Active NPI Registered Nurse · Ft. Gordon, GA
NPI 1700213816 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1700213816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN160138 (GA)
- Practice address
- 300 Hospital Rd
Ft. Gordon, GA 30905 - Phone
- (706) 787-8290
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN160138 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN160138 | GA | Yes |
Addresses
Primary practice location
300 Hospital Rd
Ft. Gordon, GA 30905
Mailing address
300 Hospital Rd
Ft. Gordon, GA 30905
Phone (706) 787-8290
Other providers in Ft. Gordon, GA
- Joseph Melton Bird
- Frederick Charles Bisch
- Mary Lewis Black
- Alvin Blackmon III
- Brenda Womack Blackmon
- Christopher Michael Bland
- Caroline Dupuy Bliven
- Amayi Maria Bloodsaw
- Michael D Boehm
- Rebecca Blair Bonin
All providers in Ft. Gordon, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.