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MRS. JEAN B BLACKBURN MSN,APN,APRN,BC
NPI 1720090202
Clinical Nurse Specialist - Psychiatric/Mental Health in Chattanooga, TN

Active since August 12, 2006
6419 LARAMIE CIR, CHATTANOOGA, TN 37421(423) 698-8414(423) 698-8413 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jean B Blackburn Msn,apn,aprn,bc NPPES

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

MRS. JEAN B BLACKBURN MSN,APN,APRN,BC (NPI 1720090202) is an individual psychiatric/mental health provider in Chattanooga, Tennessee, licensed in Tennessee (APN0000010736) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720090202
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMRS. JEAN B BLACKBURNCredential: MSN,APN,APRN,BC
Location Address6419 LARAMIE CIRChattanooga, TN 37421
Mailing Address6419 Laramie CirChattanooga, TN 37421-1962 · (423) 698-8414 · Fax (423) 698-8413
Phone(423) 698-8414
Fax(423) 698-8413
Sole ProprietorYes
Enumeration DateAugust 12, 2006
Last NPPES UpdateMay 16, 2018
✔ NPI 1720090202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
Licenses✔ Licensed in TN · APN0000010736✔ Licensed in GA · RO96375
6419 LARAMIE CIR, Chattanooga, TN 37421
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Other Identifiers 2

Other621215337TN · Irs Ind. Taxpayer Id#
Other0184813TN · Blue Cross/ Blue Shield

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 Jean Blackburn's NPI number?

The NPI number for Jean Blackburn is 1720090202. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jean Blackburn located?

Jean Blackburn practices at 6419 Laramie Cir, Chattanooga, TN 37421. The listed phone number is (423) 698-8414.

What is Jean Blackburn's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Jean Blackburn was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.