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

Mrs. Vickie C Blackburn, NP

Individual provider Acute Care Nurse Practitioner · NPI 1487656708

Mrs. Vickie C Blackburn, NP is a Nurse Practitioner in Rock Hill, South Carolina. Qualified in 2002, 24 years ago. Practices with Novant Health Prep II LLC, a 47-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
24
Licensed in
NC, SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1721 Ebenezer Rd Ste 175
Rock Hill, SC 29732-1188
Phone: (803) 324-5256
Fax: (803) 328-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2650 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2650 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5014444 (NC)

Record details

NPI number1487656708
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Novant Health Prep Ii Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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