IndividualActive
Jean Blackburn, MSN,APN,APRN,BC
NPI 1720090202 · Psychiatric/Mental Health Clinical Nurse Specialist · Chattanooga, TN
Provider details
- NPI number
- 1720090202
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN,APN,APRN,BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RO96375 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6419 Laramie Cir
Chattanooga, TN 37421
Phone: (423) 698-8414
Fax: (423) 698-8413
Approximate (ZIP-level) locationGet directions
Mailing address
6419 Laramie Cir
Chattanooga, TN 37421-1962
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2018-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.