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Contact Information

VICKIE M BLACKBURN, NP
1721 EBENEZER RD STE 175
ROCK HILL, SC29732-1188
 Phone: 803-324-5256
 Fax: 803-328-0440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VICKIE M BLACKBURN · (Female)

NPI # 1487656708
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/01/2005
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 5014444
  • SC License # 2650
Hospital affiliation(s)
  • PIEDMONT MEDICAL CENTER - (Acute Care)
    222 S HERLONG AVE
    ROCK HILL, SC 29730
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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