Individual provider · Type 1 NPI

Stephen Jeffery Blackhurst Ii, RN

Registered Nurse · Port Orange, FL

NPI number 1700495637 Active

Practice location

444 Champagne Cir
Port Orange, FL 32127-6787

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN9273773 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1700495637

Stephen Jeffery Blackhurst Ii, RN's National Provider Identifier is 1700495637, issued on Jul 27, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 27, 2020.