Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackhawk Medical, PLLC

Organization Nurse Practitioner · NPI 1710807664

Blackhawk Medical, PLLC is a Nurse Practitioner in Canton, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Aulenbrock Dr # 100-B
Canton, MS 39046-7061
Phone: (601) 624-1082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Nurse Practitioner Taxonomy 363L00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1710807664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Powell — Owner, Nurse Practitioner · (601) 624-1082
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address115 Aulenbrock Dr # 100-B, Canton, MS 39046-7061

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