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

Davaul Blackmon

Individual provider Acute Care Nurse Practitioner · NPI 1700771847

Davaul Blackmon is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2024, 2 years ago. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2025

Practice location Address checks out

2105 E South Blvd
Montgomery, AL 36116-2409
Phone: (334) 747-2100
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2025023280 (AL)

Record details

NPI number1700771847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026
Mailing address310 Telluride Ln, Midland City, AL 36350-7034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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