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

MS. Tracelynn Jennings Blackwell, PA

Individual provider Physician Assistant · NPI 1972766202

MS. Tracelynn Jennings Blackwell, PA is a Physician Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and New Mexico.

Licensed in
NC, NM
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0010-03005 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA-2008-0010 (NM)

Record details

NPI number1972766202
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021

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