Miss Stacey M Blackman, APN
Nurse Practitioner, Primary Care in East Orange, New Jersey
1366760373- Practice location
- 9 Wayne Ave, East Orange, NJ 07018
- Phone
- 201-341-8190
- Fax
- —
- Last updated
- July 25, 2018
Stacey Melissa Blackman is a Nurse Practitioner, Primary Care based in East Orange, NJ. Stacey Melissa Blackman practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Stacey Melissa Blackman is 1366760373 and holds a License No. 26nj00286100 (NJ). The current practice location address for Stacey Melissa Blackman is 9 Wayne Ave, East Orange, NJ 07018 and can be reached out via phone at 201-341-8190.
Provider Profile Details
- NPI Number
- 1366760373
- Provider Name
- Stacey Melissa Blackman
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9 Wayne Ave, East Orange, NJ 07018
- Phone Number
- 201-341-8190
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 14, 2010
- Last Update Date
- July 25, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Wayne Ave
East Orange, NJ 07018 - City
- East Orange
- State
- New Jersey
- Zip
- 07018
- Phone Number
- 201-341-8190
Provider Business Mailing Address Details
- Address
- 9 Wayne Ave
East Orange, NJ 07018-1907 - City
- East Orange
- State
- NJ
- Zip
- 07018-1907
- Phone Number
- 201-341-8190
License Information
- License Number (1)
- 26nj00286100
- License State (1)
- NJ
- Taxonomy (1)
- Legal Medicine · 173000000X
- License Number (2)
- 26NJ00286100
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 26NJ00286100
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near East Orange, NJ
View all Nurse Practitioner, Primary Care providers in East Orange →- Glennena Haynes-SmithNurse Practitioner, Primary Care · NPI 1427294586
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- Kmed Medical SolutionsNurse Practitioner, Primary Care · NPI 1366262602
- Mariama Jalloh, FNPNurse Practitioner, Primary Care · NPI 1568347151
- Mrs. Beena Mathew, APNNurse Practitioner, Primary Care · NPI 1912029281
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Frequently Asked Questions
What is the NPI number of Miss Stacey M Blackman, APN?
The NPI number of Miss Stacey M Blackman, APN is 1366760373. It was assigned on May 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Miss Stacey M Blackman, APN?
Miss Stacey M Blackman, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26nj00286100.
Where does Miss Stacey M Blackman, APN practice?
The practice location is 9 Wayne Ave, East Orange, NJ 07018. The office can be reached at 201-341-8190 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366760373 directly on the NPPES registry website.