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Mrs. Jean B Blackburn, MSN,APN,APRN,BC
Psychiatric/Mental Health Clinical Nurse Specialist in Chattanooga, Tennessee
NPI 1720090202

Jean B Blackburn is a Psychiatric/Mental Health Clinical Nurse Specialist based in Chattanooga, TN and is specialized in Psychiatric/Mental Health. Jean B Blackburn practices in Chattanooga, TN and has the professional credentials of MSN,APN,APRN,BC. The NPI Number for Jean B Blackburn is 1720090202 and holds a License No. RO96375 (Tennessee).

The current practice location address for Jean B Blackburn is 6419 Laramie Cir, Chattanooga, TN and can be reached out via phone at 423-698-8414 and via fax at 423-698-8413.

Location: 6419 Laramie Cir, Chattanooga, TN, 37421-1962
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Provider Profile Details
NPI Number
1720090202
Provider Name
Jean B Blackburn
Credential
MSN,APN,APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
6419 Laramie Cir, Chattanooga, TN, 37421-1962
Phone Number
423-698-8414
Fax Number
423-698-8413
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0184813 01 TN BLUE CROSS/ BLUE SHIELD
621215337 01 TN IRS IND. TAXPAYER ID#
institution
Provider Business Practice Location Address Details
Address
6419 Laramie Cir
City
State
Zip
37421
Phone Number
423-698-8414
Fax Number
423-698-8413
person
Provider Business Mailing Address Details
Address
6419 Laramie Cir
City
State
Zip
37421
Phone Number
423-698-8414
Fax Number
423-698-8413
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RO96375 (Georgia)
Definition
Definition to come...
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