Tonia Annette Blackwell, LPN
Individual provider Active NPI Community Health/Public Health Clinical Nurse Specialist · Kingstree, SC
NPI 1881471407 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1881471407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist 364SC1501X
- License
- 43924 (SC)
- Practice address
- 520 Thurgood Marshall Hwy
Kingstree, SC 29556-4108 - Phone
- (843) 355-6012
- NPI assigned
- Sep 8, 2023
- 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 |
|---|---|---|---|
| 43924 | SC | MD | Community Health/Public Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 43924 | SC | Yes |
Addresses
Primary practice location
520 Thurgood Marshall Hwy
Kingstree, SC 29556-4108
Mailing address
405 S Fire Station Rd
Johnsonville, SC 29555-5230
Phone (843) 992-9144
Other providers in Kingstree, SC
- Black River Healthcare, Inc.
- Black River Healthcare, Inc.
- Black River Medical Supplies and Equipment, LLC
- Black River Pharmacy LLC
- Shannon Black
- Rosanne Caison Boyd
- Shanika Tiannia Bradley
- Virlee Bradley
- Brown Enterprises
- Darrell Brown
All providers in Kingstree, SC · Community Health/Public Health Clinical Nurse Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. 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.