Active NPIIndividual providerSole proprietor

Latasha Blackmon, CNA

Nurse's Aide in Burlington, New Jersey

NPI Number1073715652
Practice location
261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177
Fax
—
Last updated
July 8, 2007

Latasha Blackmon is a Nurse's Aide based in Burlington, NJ. Latasha Blackmon practices in Burlington, NJ and has the professional credentials of CNA. The NPI Number for Latasha Blackmon is 1073715652 and holds a License No. NA0006801533 (NJ). The current practice location address for Latasha Blackmon is 261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177 and can be reached out via phone at 800-950-6066.

Provider Profile Details

NPI Number
1073715652
Provider Name
Latasha Blackmon
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177
Phone Number
800-950-6066
Primary Taxonomy
Nurse's Aide · 376K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
261 Connecticut Dr
Suite 5
Burlington, NJ 08016-4177
Zip
08016-4177
Phone Number
800-950-6066
Burlington, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
410 Pecks Beach Vlg
Ocean City, NJ 08226-3922
City
Ocean City
State
NJ
Zip
08226-3922

License Information

License Number
NA0006801533
License State
NJ
Taxonomy
Nurse's Aide · 376K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Latasha Blackmon, CNA?

The NPI number of Latasha Blackmon, CNA is 1073715652. It was assigned on June 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Latasha Blackmon, CNA?

Latasha Blackmon, CNA is registered under the primary taxonomy Nurse's Aide (code 376K00000X), licensed in NJ under license number NA0006801533.

Where does Latasha Blackmon, CNA practice?

The practice location is 261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177. The office can be reached at 800-950-6066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073715652 directly on the NPPES registry website.

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