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RENELSA BLACKMAN
NPI 1134063621
Student in an Organized Health Care Education/Training Program in Dunn, NC

Active since April 16, 2026
800 TILGHMAN DR, DUNN, NC 28334(704) 451-2105 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renelsa Blackman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENELSA BLACKMAN (NPI 1134063621) is an individual student in an organized health care education/training program in Dunn, North Carolina and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1134063621
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRENELSA BLACKMAN
Location Address800 TILGHMAN DRDunn, NC 28334-5510
Mailing Address4914 Raspberry Knoll DrCharlotte, NC 28208-2894
Phone(704) 451-2105
Sole ProprietorYes
Enumeration DateApril 16, 2026
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1134063621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 TILGHMAN DR, Dunn, NC 28334
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONU YADAV
Student in an Organized Health Care Education/Training Program
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-1000
BRITTNEY SURLES CHANANIE
Nurse Anesthetist, Certified Registered
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-1000
KELLY NICOLE PERKINSON RDN
Dietitian, Registered
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-1000
TISHANI PATEL
Student in an Organized Health Care Education/Training Program
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7711
DR. JAMES BRENDAN HARAN DO
Internal Medicine
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-7161
DR. TYLER STEPHEN MEYER DO
Student in an Organized Health Care Education/Training Program
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-1000
SHIELA MARIE CHANCOCO ROMANICK
Student in an Organized Health Care Education/Training Program
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 766-7705
JAMES E. NICHOLSON
Emergency Medicine
800 TILGHMAN DR
DUNN, NC 28334
Sampson County (910) 892-7161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renelsa Blackman's NPI number?

The NPI number for Renelsa Blackman is 1134063621. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Renelsa Blackman located?

Renelsa Blackman practices at 800 Tilghman Dr, Dunn, NC 28334. The listed phone number is (704) 451-2105.

What is Renelsa Blackman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Renelsa Blackman was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.