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

Leasa Lasae Blackmon, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1689420424

Leasa Lasae Blackmon, RN is a Psychiatric/Mental Health Registered Nurse in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone: (770) 910-9196
Fax: (678) 682-8747
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 221219 (GA)

Record details

NPI number1689420424
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

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