Jessie Blackmon, CRNP

NPI 1811460173 · on the registry since 2019 · sole proprietor

Practice

Address: 1940 Stonegate Dr Ste 130
Vestavia Hls, AL 35242
Phone: (205) 977-9876
Organisation at this address: Aqua Dermatology Of Alabama Pc
Liberty Park Anesthesia Services, Llc
Cutaneous Oncology & Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163W00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-22

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 Alabama