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Diera Blackwell, LPN
Licensed Practical Nurse in Walterboro, South Carolina
NPI 1851976419

Diera Blackwell is a Licensed Practical Nurse based in Walterboro, SC. Diera Blackwell practices in Walterboro, SC and has the professional credentials of LPN. The NPI Number for Diera Blackwell is 1851976419 and holds a License No. 51686 (South Carolina).

The current practice location address for Diera Blackwell is 377 Crystal Ln, Walterboro, SC and can be reached out via phone at 843-599-3737.

Location: 377 Crystal Ln, Walterboro, SC, 29488-8972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851976419
Provider Name
Diera Blackwell
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
377 Crystal Ln, Walterboro, SC, 29488-8972
Phone Number
843-599-3737
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
377 Crystal Ln
City
Walterboro
State
South Carolina
Zip
29488-8972
Phone Number
843-599-3737
Fax Number
person
Provider Business Mailing Address Details
Address
377 Crystal Ln
City
Walterboro
State
South Carolina
Zip
29488-8972
Phone Number
843-599-3737
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
51686 (South Carolina)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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