Blackman, Stacey Melissa

Blackman, Stacey Melissa is an individual health care provider with primary practice located at 9 Wayne Ave , East Orange NJ 07018. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Blackman, Stacey Melissa can be contacted via phone (201) 341-8190.

Contact Information

Primary practice address
9 Wayne Ave East Orange NJ 07018
Phone: (201) 341-8190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 26NJ00286100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00286100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00286100 New Jersey

Profile Details

NPI number 1366760373
LBN Legal business name Blackman, Stacey Melissa
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2010
Last updated Jul 25th, 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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