Blackwood, Jamie Lawson

Blackwood, Jamie Lawson is an sole proprietor health care provider with primary practice located at 65 Springfield Rd , Westfield MA 01085-1855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blackwood, Jamie Lawson can be contacted via phone (413) 562-8330.

Contact Information

Primary practice address
65 Springfield Rd Westfield MA 01085-1855
Phone: (413) 562-8330
Fax: (413) 562-3430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R203633 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2325703 Massachusetts

Profile Details

NPI number 1275086407
LBN Legal business name Blackwood, Jamie Lawson
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2016
Last updated Apr 19th, 2019 - about 7 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 1275086407 NPPES
Massachusetts MEDICAID 110150352A

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