Individual
JATEUM MAUREE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2253 CHAMBLISS AVE NW STE 400, CLEVELAND, TN 37311-3861
(423) 476-5002
(423) 476-5969
Mailing address
2253 CHAMBLISS AVE NW STE 400, CLEVELAND, TN 37311-3861
(423) 476-5002
(423) 476-5969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20240
TN
Other
Enumeration date
08/04/2015
Last updated
12/29/2021
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