person
Jo Susan Offutt-blackaby, MSN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Greenbrier, Tennessee
NPI 1689063760

Jo Susan Offutt-blackaby is a Psychiatric/Mental Health Nurse Practitioner based in Greenbrier, TN and is specialized in Psychiatric/Mental Health. Jo Susan Offutt-blackaby practices in Greenbrier, TN and has the professional credentials of MSN,PMHNP. The NPI Number for Jo Susan Offutt-blackaby is 1689063760 and holds a License No. 25460 (Tennessee).

The current practice location address for Jo Susan Offutt-blackaby is 2006 Maggie Ct, Greenbrier, TN and can be reached out via phone at 615-620-0998.

Location: 2006 Maggie Ct, Greenbrier, TN, 37073-0500
person
Provider Profile Details
NPI Number
1689063760
Provider Name
Jo Susan Offutt-blackaby
Credential
MSN,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2006 Maggie Ct, Greenbrier, TN, 37073-0500
Phone Number
615-620-0998
Fax Number
Provider Enumeration Date
01/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3335 01 SC MEDICARE
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
2006 Maggie Ct
City
State
Zip
37073-0500
Phone Number
615-620-0998
Fax Number
person
Provider Business Mailing Address Details
Address
2006 Maggie Ct
City
State
Zip
37073-0500
Phone Number
615-620-0998
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
19574 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
25460 (South Carolina)
Definition
Definition to come...
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