Search › Illinois › 163W00000X

Clarisa Blakemore, RN

NPI 1558150854 · on the registry since 2025 · sole proprietor

Practice

Address
1405 S 34th St Apt 302
Mount Vernon, IL 62864
Phone
(618) 204-6251

Additional practice sites

  • 14041 N Link Ln, Mount Vernon, IL

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois