Blackburn, Jean B

Blackburn, Jean B is an sole proprietor health care provider with primary practice located at 6419 Laramie Cir , Chattanooga TN 37421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blackburn, Jean B can be contacted via phone (423) 698-8414.

Contact Information

Primary practice address
6419 Laramie Cir Chattanooga TN 37421
Phone: (423) 698-8414
Fax: (423) 698-8413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RO96375 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APN0000010736 Tennessee

Profile Details

NPI number 1720090202
LBN Legal business name Blackburn, Jean B
Credentials MSN,APN,APRN,BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated May 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720090202 NPPES
Tennessee Other 0184813 BLUE CROSS/ BLUE SHIELD
Tennessee Other 621215337 BLUE CROSS/ BLUE SHIELD

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