Individual provider · Type 1 NPI
John Stephen Blackburn, CRNA
Certified Registered Nurse Anesthetist · Irmo, SC
Practice location
7210G Broad River Rd
Irmo, SC 29063-7972
Mailing address
PO Box 1637
Irmo, SC 29063-1637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 11770 (TN) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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About NPI 1164490801
John Stephen Blackburn, CRNA's National Provider Identifier is 1164490801, issued on Mar 9, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Irmo, SC. The record was last updated on Oct 11, 2026.