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Mr. John Stephen Blackburn, CRNA
Certified Registered Nurse Anesthetist in Irmo, South Carolina
NPI 1164490801

John Stephen Blackburn is a Certified Registered Nurse Anesthetist based in Irmo, SC. John Stephen Blackburn practices in Irmo, SC and has the professional credentials of CRNA. The NPI Number for John Stephen Blackburn is 1164490801 and holds a License No. 11770 (South Carolina).

The current practice location address for John Stephen Blackburn is 7210G Broad River Rd, Irmo, SC and can be reached out via phone at 803-407-5266.

Location: 7210G Broad River Rd, Irmo, SC, 29063-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164490801
Provider Name
John Stephen Blackburn
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
7210G Broad River Rd, Irmo, SC, 29063-1637
Phone Number
803-407-5266
Fax Number
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11770 01 TN APN
60552 01 TN RN
institution
Provider Business Practice Location Address Details
Address
7210G Broad River Rd
City
Irmo
State
South Carolina
Zip
29063-7972
Phone Number
803-407-5266
Fax Number
person
Provider Business Mailing Address Details
Address
7210G Broad River Rd
City
Irmo
State
South Carolina
Zip
29063-7972
Phone Number
803-407-5266
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
11770 (Tennessee)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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