IndividualActive
Latasha Blackmon, CNA
NPI 1073715652 · Nurse's Aide · Burlington, NJ
Provider details
- NPI number
- 1073715652
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- NA0006801533 (NJ)
Practice location
261 Connecticut Dr
Suite 5
Burlington, NJ 08016-4177
Phone: (800) 950-6066
Mailing address
410 Pecks Beach Vlg
Ocean City, NJ 08226-3922
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.