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Miss Stacey Melissa Blackman, APN
Primary Care Nurse Practitioner in East Orange, New Jersey
NPI 1366760373

Stacey Melissa Blackman is a Primary Care Nurse Practitioner based in East Orange, NJ and is specialized in Primary Care. 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 (New Jersey).

The current practice location address for Stacey Melissa Blackman is 9 Wayne Ave, East Orange, NJ and can be reached out via phone at 201-341-8190.

Location: 9 Wayne Ave, East Orange, NJ, 07018-1907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 07018-1907
Phone Number
201-341-8190
Fax Number
Provider Enumeration Date
05/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 Wayne Ave
City
East Orange
State
New Jersey
Zip
07018
Phone Number
201-341-8190
Fax Number
person
Provider Business Mailing Address Details
Address
9 Wayne Ave
City
East Orange
State
New Jersey
Zip
07018
Phone Number
201-341-8190
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Legal Medicine
Speciality
-
Taxonomy
173000000X
License No.
26NJ00286100 (New Jersey)
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00286100 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
26NJ00286100 (New Jersey)
Definition
Definition to come...
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