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NPI Code Detail

MEDICARE: JOANN KNOX BLACKWOOD

MEDICARE: JOANN KNOX BLACKWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner149470NC

General Provider Information

NPI Number : 1457283467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN KNOX BLACKWOOD
Provider Business Mailing Address
First Line : 2820 DRUMMOND ST
Second Line :
City : CONNELLY SPRINGS
State : NC
Zip : 28612-8504
Country : US
Telephone Number : 828-638-0120
Fax Number :
Provider Business Practice Location Address
First Line : 415 N CENTER ST STE 300
Second Line :
City : HICKORY
State : NC
Zip : 28601-5036
Country : US
Telephone Number : 828-328-3300
Fax Number : 828-328-9101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JOANN KNOX BLACKWOOD ” Practice Location

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