1. Home
  2. Directory
  3. Pennsylvania
  4. Plymouth Meeting
  5. Licensed Practical Nurse
  6. NPI Profile

PENNY KAY BLACKBURN LPN
NPI 1205088762
Licensed Practical Nurse in Plymouth Meeting, PA

Active since October 15, 2008
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462(317) 842-7674(800) 334-9081 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penny Kay Blackburn Lpn NPPES

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

PENNY KAY BLACKBURN LPN (NPI 1205088762) is an individual licensed practical nurse in Plymouth Meeting, Pennsylvania, licensed in Indiana (27058294A) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1205088762
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePENNY KAY BLACKBURNCredential: LPN
Location Address2250 HICKORY RD, SUITE 240Plymouth Meeting, PA 19462-1047
Mailing AddressPo Box 229Kingman, IN 47952-0229 · (765) 585-6000
Phone(317) 842-7674
Fax(800) 334-9081
Sole ProprietorYes
Enumeration DateOctober 15, 2008
✔ NPI 1205088762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IN · 27058294A
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2250 HICKORY RD, Plymouth Meeting, PA 19462
Open in Google Maps ↗

Other Names 1

Former Name (1)Penny Kay Bolin

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.

TRACEY ASHMAN
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
CHRISTAL RICE
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
NICHOLAS WAIGANJO LPN
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
PEARL ELLIS
Registered Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
SONJIA REED ZIEMER CNA
Nurse's Aide
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
CONNIE L GALLAGHER
Occupational Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
PAM HOFFMASTER
Physical Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
TINA TARTAGLIONE
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122

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 Penny Blackburn's NPI number?

The NPI number for Penny Blackburn is 1205088762. It was assigned to this individual provider in the NPPES registry on October 15, 2008. The provider is also known as Penny Kay Bolin.

Where is Penny Blackburn located?

Penny Blackburn practices at 2250 Hickory Rd Suite 240, Plymouth Meeting, PA 19462. The listed phone number is (317) 842-7674.

What is Penny Blackburn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Penny Blackburn was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.