Individual
MR. TYLER BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17863
TN
367500000X
Certified Registered Nurse Anesthetist
R879792
MS
Other
Enumeration date
08/13/2013
Last updated
05/24/2018
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