person
Jaqueline Dare Blackmon, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Ruskin, Florida
NPI 1689370769

Jaqueline Dare Blackmon is a Psychiatric/Mental Health Nurse Practitioner based in Ruskin, FL and is specialized in Psychiatric/Mental Health. Jaqueline Dare Blackmon practices in Ruskin, FL and has the professional credentials of PMHNP. The NPI Number for Jaqueline Dare Blackmon is 1689370769 and holds a License No. 11024186 (Florida).

The current practice location address for Jaqueline Dare Blackmon is 1610 Climbing Dayflower Dr, Ruskin, FL and can be reached out via phone at 910-584-0980.

Location: 1610 Climbing Dayflower Dr, Ruskin, FL, 33570-4949
person
Provider Profile Details
NPI Number
1689370769
Provider Name
Jaqueline Dare Blackmon
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1610 Climbing Dayflower Dr, Ruskin, FL, 33570-4949
Phone Number
910-584-0980
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1610 Climbing Dayflower Dr
City
State
Zip
33570-4949
Phone Number
910-584-0980
Fax Number
person
Provider Business Mailing Address Details
Address
1610 Climbing Dayflower Dr
City
State
Zip
33570-4949
Phone Number
910-584-0980
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11024186 (Florida)
Definition
Definition to come...
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