Lookup NPI Numbers from the NPI Registry
NPI Profile for STACEY M BLACKMAN in EAST ORANGE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Legal Medicine |
173000000X |
| NPI Number | 1366760373 |
|
| Status | Active | |
| Credentials | APN | |
| Entity | Individual | |
| Enumeration date | 05/14/2010 | |
| Last updated | 07/25/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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STACEY M BLACKMAN
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STACEY M BLACKMAN, APN