MRS. SHERLENE ELANE BLACKWOOD (NPI# 1730530692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730530692 |
| Entity Type | Individual |
| Full Name | MRS. SHERLENE ELANE BLACKWOOD |
| Credential | FNP-C |
| Practice Address |
360 County Complex Rd Ste 200 Clinton NC 28328-4846 |
| Practice Telephone | 9105921131 |
| Mailing Telephone | 9105921131 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008648 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Tilghman Dr, Dunn, NC 283345533 | 9108921333 |
| Street Address |
360 COUNTY COMPLEX RD STE 200 |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245892710 | Jill Anne Breton | Nurse Practitioner | 360 County Complex Rd Ste 200, Clinton, NC 28328-4846 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1053955005 | Ashley Marie James | Nurse Practitioner | 3400 Anamosa Rd, Clinton, IA 52732-9700 | 2019-11-03 |
| 1831745041 | Meghan L Matthews | Nurse Practitioner | 618 W Jefferson St, Clinton, IL 61727-1942 | 2019-08-13 |
| 1952874315 | Brandy Ann Chisholm | Nurse Practitioner | 919 4th Ave S, Clinton, IA 52732-5566 | 2019-01-09 |
| 1013485358 | Clinton Medical and Urgent Care LLC | Nurse Practitioner | 9009 Woodyard Rd Ste 101, Clinton, MD 20735-4268 | 2018-11-05 |
| 1407336548 | Candice M Ogle | Nurse Practitioner | 2681 Andersonville Hwy Ste 102, Clinton, TN 37716-6706 | 2018-08-17 |
| 1770009656 | Brittni Sioux Cook | Nurse Practitioner | 1154 N 600 W, Clinton, UT 84015-9433 | 2017-08-22 |
| 1598112583 | Alanda James | Nurse Practitioner | 192 Kelly Dr, Clinton, MS 39056-3062 | 2016-05-19 |
| 1700936275 | Laurie L. Callan,nurse Pracitioner,llc | Nurse Practitioner | 250 S 14th St, Clinton, IA 52732-5435 | 2007-01-10 |
| 1861575045 | Frankie Lynette Britt | Nurse Practitioner | 1021 Beaman St, Clinton, NC 28328-2343 | 2006-10-23 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on MRS. SHERLENE ELANE BLACKWOOD.
| 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.