Lisa D Blevins in Johnson City - Psychiatric/mental Health, Adult
Lisa D Blevins - NPI 1851452288
Lisa D Blevins is a Psychiatric/mental Health, Adult in Johnson City, Tennessee. Lisa D Blevins practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Lisa D Blevins is 1851452288. The last update date is 2007-07-08.
Lisa D Blevins's current location address is 403 N State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4234317111 and fax number 4234317092. The mailing address for Lisa D Blevins is 403 N State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa D Blevins |
|---|---|
| Address | 403 N State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4234317111 |
| Fax Number | 4234317092 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1851452288 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 N State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046034 |
| Phone Number | 4234317111 |
| Fax Number | 4234317092 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 6554 |
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Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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What is the Lisa D Blevins's unique identification number?
The Lisa D Blevins has been assigned the NPI (National Provider Identifier) Number 1851452288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lisa D Blevins is located?
The Lisa D Blevins is situated at the following address: 403 N State Of Franklin Rd, Johnson City, TN, 376046034.
What is Lisa D Blevins's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa D Blevins is Psychiatric/mental Health, Adult, and the taxonomy classification code that categorizes this area of expertise is 364Sp0809X.
On what date did the Lisa D Blevins receive its 1851452288 assignment from the Centers for Medicare & Medicaid Services?
The Lisa D Blevins was assigned its 1851452288 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Lisa D Blevins's details last updated?
The information pertaining to the Lisa D Blevins, including its address, specialty, and other details, was most recently updated on 2007-07-08.