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Contact Information

MELISSA C BLACKWOOD, CRNA
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN37804-5015
 Phone: 865-977-5760
 Fax: 865-977-4788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MELISSA C BLACKWOOD · (Female)

NPI # 1043547524
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/04/2009
Last updated 11/25/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • TN License # APN14537
  • TN Medicaid 1516508
  • TN Medicaid Q047344
  • TN Other 4246033 BLUE CROSS BLUE SHIELD TN
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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