Individual provider · Type 1 NPI
Jateum Mauree Blackburn, FNP-C
Family Nurse Practitioner · Cleveland, TN
NPI number
1265818983
Active
Practice location
2253 Chambliss Ave NW Ste 400
Cleveland, TN 37311-3861
Fax (423) 476-5969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20240 (TN) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1265818983
Jateum Mauree Blackburn, FNP-C's National Provider Identifier is 1265818983, issued on Aug 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, TN. The record was last updated on Dec 29, 2021.