Tracelynn Jennings Blackwell in Raleigh - Physician Assistant
Tracelynn Jennings Blackwell - NPI 1972766202
Tracelynn Jennings Blackwell is a Physician Assistant in Raleigh, North Carolina. Tracelynn Jennings Blackwell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracelynn Jennings Blackwell is 1972766202. The last update date is 2021-02-16.
Tracelynn Jennings Blackwell's current location address is 3000 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193508000. The mailing address for Tracelynn Jennings Blackwell is 3000 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracelynn Jennings Blackwell |
|---|---|
| Address | 3000 New Bern Ave, Raleigh, North Carolina |
| Phone Number | 9193508000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1972766202 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2021-02-16 |
Provider Mailing Address Detail
| Address | 3000 New Bern Ave |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276101231 |
| Phone Number | 9193508000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-2008-0010 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the Tracelynn Jennings Blackwell's 1972766202?
The Tracelynn Jennings Blackwell's NPI (National Provider Identifier) Number is 1972766202. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tracelynn Jennings Blackwell?
The Tracelynn Jennings Blackwell is physically situated at 3000 New Bern Ave, in the city of Raleigh, state of NC, with the postal code 276101231.
What is Tracelynn Jennings Blackwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracelynn Jennings Blackwell's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Tracelynn Jennings Blackwell receive the assignment of its 1972766202 from the Centers for Medicare & Medicaid Services?
The Tracelynn Jennings Blackwell was issued its 1972766202 by the Centers for Medicare & Medicaid Services on 2008-07-07.
As of what date were the Tracelynn Jennings Blackwell's details last updated?
The information pertaining to the Tracelynn Jennings Blackwell, including its address, specialty, and other details, was most recently updated on 2021-02-16.