IndividualActive
Jean Blackmon, RN
NPI 1205411766 · Urology Registered Nurse · Mt Pleasant, SC
Provider details
- NPI number
- 1205411766
- Entity type
- Individual
- Primary specialty
- Urology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 104325 (SC)
Practice location
1551 Ben Sawyer Blvd Unit 5g
Mt Pleasant, SC 29464-5508
Phone: (843) 367-9938
Mailing address
1551 Ben Sawyer Blvd Unit 5g
Mt Pleasant, SC 29464-5508
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.