-- JACOB NAZARETH BLACKWELL -- M.D.
Individual Provider (NPI-1)
Active
Internal Medicine, Clinical Cardiac Electrophysiology
Provider Information
- NPI Number
1447782420- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 5801 BREMO RD, RICHMOND, VA, 232261907
- Phone
- (804) 285-2011
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
License: VA #0101286596
Internal Medicine, Clinical Cardiac Electrophysiology
Primary License: PA #MT227978
Internal Medicine
License: NC #2020-04293
Student in an Organized Health Care Education/Training Program