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JO SUSAN OFFUTT-BLACKABY MSN, PMHNP
NPI 1689063760
Nurse Practitioner - Psychiatric/Mental Health in Greenbrier, TN

Active since January 13, 2015
2006 MAGGIE CT, GREENBRIER, TN 37073(615) 620-0998 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2024, Sep 2, 2022 (2 updates tracked since 2022).

About Jo Susan Offutt-blackaby Msn, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JO SUSAN OFFUTT-BLACKABY MSN, PMHNP (NPI 1689063760) is an individual psychiatric/mental health provider in Greenbrier, Tennessee, licensed in Tennessee (19574) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1689063760
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJO SUSAN OFFUTT-BLACKABYCredential: MSN, PMHNP
Location Address2006 MAGGIE CTGreenbrier, TN 37073-0500
Mailing Address2006 Maggie CtGreenbrier, TN 37073-0500 · (615) 970-9467 · Fax (615) 246-9030
Phone(615) 620-0998
Sole ProprietorNo
Enumeration DateJanuary 13, 2015
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1689063760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · 19574✔ Licensed in SC · 25460
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 19574 (TN)
2006 MAGGIE CT, Greenbrier, TN 37073
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Other Identifiers 2

Other3335SC · Medicare
Medicaid421504SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jo Offutt-blackaby's NPI number?

The NPI number for Jo Offutt-blackaby is 1689063760. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Jo Offutt-blackaby located?

Jo Offutt-blackaby practices at 2006 Maggie Ct, Greenbrier, TN 37073. The listed phone number is (615) 620-0998.

What is Jo Offutt-blackaby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jo Offutt-blackaby was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.