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Search › Pennsylvania › 363LW0102X

Simone Blackburn

NPI 1669309464 · on the registry since 2026

Practice

Address
111 S 11th St
Philadelphia, PA 19107
Phone
(714) 655-9299
Organisation at this address
Jeffex Inc
Jefferson Hospital
Tju Hospitals, Inc
Herbert E Cohen M.D.
University Of Pittsburg
Inferred from a shared address, not stated in the registry.
Clinicians at this address
710

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania