Doctor profile · Federal record

Dr. JAQUELINE BLACKMON, PMHNP

Psychiatric/Mental Health Nurse Practitioner (CMS: NURSE PRACTITIONER) · RUSKIN, FL

  • NPI 1689370769
  • Accepts Medicare
  • 4 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1610 CLIMBING DAYFLOWER DR
RUSKIN, FL 335704949
(910) 584-0980

Credentials & registration

NPPES · NUCC
NPI registered
February 2023 — 3 yrs on file
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363LP0808X — NUCC code
State license (1)
Florida #11024186

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689370769. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$38
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Tempus AI, Inc 1 $20.02
ABBVIE INC. 1 $17.79

By nature of payment

Food and Beverage
$38