Individual provider · Type 1 NPI

Jason Barry Blackburn, CRNA

Certified Registered Nurse Anesthetist · Southfield, MI

NPI number 1306344049 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

21921 Trombly St
St. Clair Shores, MI 48080-1282

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704286557 (MI)

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 1306344049

Jason Barry Blackburn, CRNA's National Provider Identifier is 1306344049, issued on Jan 29, 2018. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Southfield, MI. The record was last updated on Jan 29, 2018.