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

Clydie Blackwell, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1063289635

Clydie Blackwell, RN is an Addiction (Substance Use Disorder) Registered Nurse in East Saint Louis, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

505 S 8th St
East Saint Louis, IL 62201-2919
Phone: (618) 474-7330
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 041165940 (IL)

Record details

NPI number1063289635
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address329 N 81st St, Cahokia Heights, IL 62203-2509

Other providers in East Saint Louis