Mr. John Stephen Blackburn is a Irmo, South Carolina based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. John Stephen Blackburn is 11770 for Anesthesia Administration in Tennessee. his current practice location is 7210g Broad River Rd, Irmo. Patients can reach him at 803-407-5266. Mr. John Stephen Blackburn is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1164490801. Mr. John Stephen Blackburn is a certified 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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. John Stephen Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
7210g Broad River Rd, Irmo, South Carolina, 29063-7972
Phone:
803-407-5266
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164490801
NPI Enumeration Date:
09 Mar, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. John Stephen Blackburn are as mentioned below.
License Number
Specialization
State
Status
11770
Anesthesia Administration
Tennessee
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. John Stephen Blackburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
11770
Other
Tennessee
APN
60552
Other
Tennessee
RN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1637, Irmo, South Carolina
Zip:
29063-1637
Phone Number:
803-407-5266
Fax Number:
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Patients can reach Mr. John Stephen Blackburn at 7210g Broad River Rd, Irmo, South Carolina or can call to book an appointment on 803-407-5266.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.