1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Licensed Practical Nurse
  6. NPI Profile

SHERONDA LANETTA BLACKMON LPN
NPI 1215540430
Licensed Practical Nurse in Detroit, MI

Active since August 27, 2020
13929 HARPER AVE., DETROIT, MI 48213(313) 371-0055(313) 469-7072 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sheronda Lanetta Blackmon Lpn NPPES

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

SHERONDA LANETTA BLACKMON LPN (NPI 1215540430) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703080391) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1215540430
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHERONDA LANETTA BLACKMONCredential: LPN
Location Address13929 HARPER AVE.Detroit, MI 48213
Mailing Address13929 Harper AveDetroit, MI 48213-3672 · (313) 371-0055 · Fax (313) 469-7072
Phone(313) 371-0055
Fax(313) 469-7072
Sole ProprietorYes
Enumeration DateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1215540430 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 MI · 4703080391
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.

13929 HARPER AVE., Detroit, MI 48213
Open in Google Maps ↗

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 Sheronda Blackmon's NPI number?

The NPI number for Sheronda Blackmon is 1215540430. It was assigned to this individual provider in the NPPES registry on August 27, 2020.

Where is Sheronda Blackmon located?

Sheronda Blackmon practices at 13929 Harper Ave., Detroit, MI 48213. The listed phone number is (313) 371-0055.

What is Sheronda Blackmon'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 Sheronda Blackmon was last updated on August 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.