# MRS. JEANNIE ANN BLACKBURN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700185378
- **Gender:** F
- **Credential:** ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364S00000X | Clinical Nurse Specialist | AP120132 | TX | Yes |
| 364SA2100X | Acute Care Clinical Nurse Specialist | 665439 | TX | — |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | 665439 | TX | — |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 03/13/2026