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

Kisharra Blackwell

Individual provider Licensed Practical Nurse · NPI 1164317780

Kisharra Blackwell is a Licensed Practical Nurse in Hubbard, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

1182 Trails Edge Dr
Hubbard, OH 44425-3359
Phone: (330) 391-2522
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 190826 (OH)

Record details

NPI number1164317780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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