MISS STACEY MELISSA BLACKMAN APN NPI 1366760373

NPI Information

NPI: 1366760373
Provider Name: MISS STACEY MELISSA BLACKMAN, APN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: UNIVERSITY HOSPITAL

PECOS Registration: Yes

Address:
9 WAYNE AVE
EAST ORANGE, NJ
ZIP 07018
Phone: (201) 341-8190
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MISS Stacey Melissa Blackman, APN is a primary care nurse practitioner in East Orange, NJ with 16 years of experience. MISS Stacey Melissa Blackman, APN NPI is 1366760373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 WAYNE AVE
EAST ORANGE, NJ
ZIP 07018
Phone: (201) 341-8190

The NPI 1366760373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2010 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	173000000X	Legal Medicine		26NJ00286100	NEW JERSEY	No
2	363LF0000X	Nurse Practitioner	Family	26NJ00286100	NEW JERSEY	No
3	363LP2300X	Nurse Practitioner	Primary Care	26NJ00286100	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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