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Contact Information

CLARISA BLAKEMORE, RN
1405 S 34TH ST APT 302
MOUNT VERNON, IL62864-6240
 Phone: 618-204-6251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CLARISA BLAKEMORE · (Female)

NPI Number 1558150854
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/02/2025
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041505360
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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