IndividualActive
Bonita Blackman, APRN, PMHNP
NPI 1629956479 · Psychiatric/Mental Health Nurse Practitioner · Bear, DE
Provider details
- NPI number
- 1629956479
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- L8-0010711 (DE)
Mailing address
1148 Pulaski Hwy Ste 167
Bear, DE 19701-1305
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.