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
- Primary practice
-
1610 CLIMBING DAYFLOWER DR
RUSKIN, FL 335704949
(910) 584-0980
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689370769. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$38
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tempus AI, Inc | 1 | $20.02 | |
| ABBVIE INC. | 1 | $17.79 |