BONITA JODY BLACKMAN APRN, PMHNP
NPI 1629956479
Nurse Practitioner - Psychiatric/Mental Health in Bear, DE

Active since August 21, 2025
1148 PULASKI HWY STE 167, BEAR, DE 19701(302) 373-8599 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonita Jody Blackman Aprn, Pmhnp NPPES

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

BONITA JODY BLACKMAN APRN, PMHNP (NPI 1629956479) is an individual psychiatric/mental health provider in Bear, Delaware, licensed in Delaware (L8-0010711) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1629956479
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBONITA JODY BLACKMANCredential: APRN, PMHNP
Location Address1148 PULASKI HWY STE 167Bear, DE 19701-1305
Mailing Address1148 Pulaski Hwy Ste 167Bear, DE 19701-1305 · (302) 373-8599
Sole ProprietorYes
Enumeration DateAugust 21, 2025
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
NPI 1629956479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in DE · L8-0010711
1148 PULASKI HWY STE 167, Bear, DE 19701

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 Bonita Blackman's NPI number?

The NPI number for Bonita Blackman is 1629956479. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Bonita Blackman located?

Bonita Blackman practices at 1148 Pulaski Hwy Ste 167, Bear, DE 19701. The listed phone number is (302) 373-8599.

What is Bonita Blackman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bonita Blackman was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.