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

Laura Elizabeth Blackwell

Individual provider Family Nurse Practitioner · NPI 1235700741

Laura Elizabeth Blackwell is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2021, 5 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021

Practice location Address checks out

619 Skyline Dr
Jackson, TN 38301-3903
Phone: (731) 422-0213
Fax: (731) 882-5052
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30421 (TN)

Record details

NPI number1235700741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson