JEANINNE BLACKWELL


Address: 543 North St, New Bedford, MA 02740-2782
Phone: 5089845566

JEANINNE BLACKWELL (NPI# 1003144171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003144171
Entity Type Individual
Full Name JEANINNE BLACKWELL
Credential PMHNP-BC
Practice Address 543 North St
New Bedford
MA 02740-2782
Mailing Address 1061 Pleasant St
New Bedford
MA 02740-6728
Practice Telephone 5089845566
Mailing Telephone 5089845566
Enumeration Date 2009-11-30
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2313081 DE Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2313081 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R205720 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 543 NORTH ST
City NEW BEDFORD
State MA
Zip Code 02740-2782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598765711 Darci Moran Physician Assistant 543 North St, New Bedford, MA 02740-2766 2005-07-29
1699373050 Mari Murphy Counselor 543 North St, New Bedford, MA 02740-2782 2020-10-16
1083212880 Laura E Harvie Case Manager/Care Coordinator 543 North St, New Bedford, MA 02740-2782 2020-10-14
1467066472 Brendan Davidson Counselor 543 North St, New Bedford, MA 02740-2782 2020-09-08
1598379240 Chanell Fields Counselor 543 North St, New Bedford, MA 02740-2782 2020-09-01
1285247288 Lexus Elizabeth Andrade Community/Behavioral Health 543 North St, New Bedford, MA 02740-2782 2020-08-28
1114538543 Maybelline Willner Counselor 543 North St, New Bedford, MA 02740-2782 2020-08-10
1124643259 Anastaxia Noel Kirkpatrick Counselor 543 North St, New Bedford, MA 02740-2782 2020-06-15
1548885999 Kara Rocha Developmental Therapist 543 North St, New Bedford, MA 02740-2782 2020-06-11
1528696713 Liana Marie Vazquez Counselor 543 North St, New Bedford, MA 02740-2782 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689294019 Jacqueline Maye Homemaker 167 North Street, New Bedford, MA 02740 2020-04-27
1467095810 Siere Jennifer Alkee Psychiatry & Neurology 68 N.front St, New Bedford, MA 02740 2019-10-17
1285282285 Michelle Marie Montella Counselor 5 Dover St., New Bedford, MA 02740 2019-09-03
1891349460 Carla E Fernandes Counselor 89 Pleasant Street, Apt 2, New Bedford, MA 02740 2019-07-31
1881156446 Rachael Nylin Health Educator 128 Union St, Ste 204, New Bedford, MA 02740 2019-04-03
1194207563 Wendy Anne Pacheco Social Worker 179 William Street, New Bedford, MA 02740 2018-09-03
1972085306 Clear Coast Dental Pllc Dentist 906 Hathaway Road, New Bedford, MA 02740 2018-09-01
1538646617 Derek Baptiste Counselor 68 N. Front St, New Bedford, MA 02740 2018-07-23
1316439227 Savanna Alexandrea Jones Social Worker 543 North St., New Bedford, MA 02740 2018-06-06
1265940860 My Dental New Bedford Clinic/Center 770 Purchase St, New Bedford, MA 02740 2018-01-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629676234 Sandpiper Wellness, LLC Nurse Practitioner 345 Union St Unit 5, New Bedford, MA 02740-3679 2020-10-15
1669542858 Paulette M. Chartier Nurse Practitioner 52 Brigham St Ste 5, New Bedford, MA 02740-2210 2006-11-08
1669073805 Veronica Christina Lee Nurse Practitioner 34 Gifford St, New Bedford, MA 02744-2610 2020-11-04
1275161317 Desrosiers Psychiatric LLC Nurse Practitioner 1 Welby Rd, New Bedford, MA 02745-1137 2020-04-01
1801266952 Brighter Side Wellness LLC Nurse Practitioner 67 Brigham St, New Bedford, MA 02740-2211 2015-10-01
1295084002 Barbara A Roderick Nurse Practitioner 70 Kilburn St, New Bedford, MA 02740 2012-09-07
1447531348 Ana C. Richards Nurse Practitioner 543 North St, New Bedford, MA 02740-2782 2011-09-06
1245559780 Clare E Katuramu Nurse Practitioner 842 Purchase St, New Bedford, MA 02740-6232 2010-05-24
1780838904 Elise A Bocchino Nurse Practitioner 543 North St, New Bedford, MA 02740-2782 2008-11-14
1053437459 Sharon Sousa Nurse Practitioner 466 County St, New Bedford, MA 02740-5107 2007-03-21
Find all providers in NEW BEDFORD

Competitor

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City NEW BEDFORD
Zip Code 02740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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