Individual
MRS. JEAN B BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,APN,APRN,BC
Contact information
Practice address
6419 LARAMIE CIR, CHATTANOOGA, TN 37421
(423) 698-8414
(423) 698-8413
Mailing address
6419 LARAMIE CIR, CHATTANOOGA, TN 37421-1962
(423) 698-8414
(423) 698-8413
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN0000010736
TN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RO96375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184813
BLUE CROSS/ BLUE SHIELD
TN
01
—
621215337
IRS IND. TAXPAYER ID#
TN
Enumeration date
08/12/2006
Last updated
05/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us