John Stephen Blackburn in Irmo - Nurse Anesthetist, Certified Registered

John Stephen Blackburn - NPI 1164490801

John Stephen Blackburn is a Nurse Anesthetist, Certified Registered in Irmo, South Carolina. John Stephen Blackburn practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John Stephen Blackburn is 1164490801. The last update date is 2007-07-08.

John Stephen Blackburn's current location address is Po Box 1637, Irmo, South Carolina. You can contact this provider via phone number 8034075266. The mailing address for John Stephen Blackburn is Po Box 1637, Irmo, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John Stephen Blackburn
Address Po Box 1637, Irmo, South Carolina
Phone Number 8034075266
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1164490801
Provider Enumeration Date 2006-03-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1637
City Irmo
State South Carolina (SC)
Post Code 290631637
Phone Number 8034075266
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 11770
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11770 TN APN
60552 TN RN

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FAQs about John Stephen Blackburn

What is the unique provider identifier assigned to John Stephen Blackburn?

The John Stephen Blackburn has been issued the NPI (National Provider Identifier) 1164490801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where John Stephen Blackburn's facilities are situated?

The facilities of John Stephen Blackburn are physically located at the following address: Po Box 1637, Irmo, SC, 290631637.

What is John Stephen Blackburn's area of expertise and its corresponding taxonomy classification?

The John Stephen Blackburn's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1164490801 to John Stephen Blackburn?

The John Stephen Blackburn received its 1164490801 assignment from the Centers for Medicare & Medicaid Services on 2006-03-09.

When was the information related to John Stephen Blackburn most recently updated or refreshed?

The details pertaining to the John Stephen Blackburn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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