Jamie Len Blackwell in Johnson City - Pediatric Emergency Medicine

Jamie Len Blackwell - NPI 1770518508

Jamie Len Blackwell is a Pediatric Emergency Medicine in Johnson City, Tennessee. Jamie Len Blackwell practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Jamie Len Blackwell is 1770518508. The last update date is 2011-03-30.

Jamie Len Blackwell's current location address is 409 E Chilhowie Avenue, Johnson City, Tennessee. You can contact this provider via phone number 8669165259 and fax number 8667896181. The mailing address for Jamie Len Blackwell is 409 E Chilhowie Avenue, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie Len Blackwell
Address 409 E Chilhowie Avenue, Johnson City, Tennessee
Phone Number 8669165259
Fax Number 8667896181
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770518508
Provider Enumeration Date 2006-07-11
Last Updated Date 2011-03-30

Provider Mailing Address Detail

Address 409 E Chilhowie Avenue
City Johnson City
State Tennessee (TN)
Post Code 376010001
Phone Number 8669165259
Fax Number 8667896181

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No MD39832
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3332689 TN --
096905733A GA --
4104189 TN BCBS OF TENNESSEE
9932458 AL --

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FAQs about Jamie Len Blackwell

What is the unique identifier code issued to Jamie Len Blackwell by the Centers for Medicare & Medicaid Services?

The Jamie Len Blackwell has been assigned the NPI (National Provider Identifier) 1770518508. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jamie Len Blackwell is located?

The Jamie Len Blackwell is situated at the following address: 409 E Chilhowie Avenue, Johnson City, TN, 376010001.

What is Jamie Len Blackwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jamie Len Blackwell is Pediatric Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0204X.

When was the Jamie Len Blackwell's 1770518508 issued?

The Jamie Len Blackwell's 1770518508 was issued on 2006-07-11.

When was the information regarding Jamie Len Blackwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jamie Len Blackwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-30.

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