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

Jennifer E Blackmon

Individual provider Family Nurse Practitioner · NPI 1417583642

Jennifer E Blackmon is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2019, 7 years ago. Practices with Onepeak Southern Oregon PC, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Texas.

Years since qualifying
7
Licensed in
OR, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1325 NE 7th St
Grants Pass, OR 97526-1358
Phone: (541) 460-5331
Fax: (541) 460-5165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10016379 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP145410 (TX)

Record details

NPI number1417583642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address1325 Ne 7th St, Grants Pass, OR 97526-1358

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Onepeak Southern Oregon Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grants Pass