Blackwell, Jenna

Blackwell, Jenna is an sole proprietor health care provider with primary practice located at 230 Mitchell St Ste B , Millsboro DE 19966-9402. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Agencies / Home Health, Agencies / Nursing Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Blackwell, Jenna can be contacted via phone (484) 828-1771.

Contact Information

Primary practice address
230 Mitchell St Ste B Millsboro DE 19966-9402
Phone: (484) 828-1771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X L8-0010409 Delaware
Agencies / Home Health 251E00000X 20663601 Pennsylvania
Agencies / Nursing Care 251J00000X 04970501 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X L8-0010409 Delaware

Profile Details

NPI number 1336570324
LBN Legal business name Blackwell, Jenna
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2013
Last updated Jun 12th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336570324 NPPES
Pennsylvania MEDICAID 102581115

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