Blackmon, Jessie Leyla

Blackmon, Jessie Leyla is an sole proprietor health care provider with primary practice located at 1940 Stonegate Dr Ste 130 , Vestavia Hls AL 35242-2541. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackmon, Jessie Leyla can be contacted via phone (205) 977-9876.

Contact Information

Primary practice address
1940 Stonegate Dr Ste 130 Vestavia Hls AL 35242-2541
Phone: (205) 977-9876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-162172 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F09201154 Alabama

Profile Details

NPI number 1811460173
LBN Legal business name Blackmon, Jessie Leyla
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2019
Last updated Jan 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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