JACQUELYNN BLACKWELL
NPI 1942718036
Case Manager/Care Coordinator in Ponca City, OK

Q: What is Jacquelynn Blackwell's NPI number?

The NPI number for Jacquelynn Blackwell is 1942718036. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Q: What is Jacquelynn Blackwell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since January 11, 2018

110 N 4TH ST, PONCA CITY, OK 74601(405) 372-2202(580) 215-5765 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 20, 2019, Jan 11, 2018 (2 updates tracked since 2018).

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About Jacquelynn Blackwell NPPES

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

JACQUELYNN BLACKWELL (NPI 1942718036) is an individual case manager/care coordinator provider in Ponca City, Oklahoma and active in the NPI registry since January 2018. She maintains a secondary practice location in Ponca City.

NPPES Registry Identity

NPI1942718036

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameJACQUELYNN BLACKWELL

Location Address110 N 4TH STPonca City, OK 74601

Mailing Address110 N 4th StPonca City, OK 74601-4527 · (405) 372-2202 · Fax (580) 215-5765

Phone(405) 372-2202

Fax(580) 215-5765

Sole ProprietorNo

Enumeration DateJanuary 11, 2018

Last NPPES UpdateMay 20, 20192 updates tracked since enumeration

✔ NPI 1942718036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

110 N 4TH ST, Ponca City, OK 74601

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Secondary Practice Location 1

Location 11500 N 6th StPonca City, OK 74601-2827 · Phone (580) 761-2157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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.

LAUREN KIRK LPC

Counselor (Mental Health)