Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JO SUSAN OFFUTT-BLACKABY
Active
Individual
JO SUSAN OFFUTT-BLACKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19574
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
25460
SC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
19574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
01/13/2015
Last updated
01/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers