Dr. Jamie Len Blackwell
M.D. | Pediatric Emergency Medicine | Female
Dr. Jamie Len Blackwell, M.D. is a Johnson City, Tennessee based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jamie Len Blackwell is
409 E Chilhowie Ave, Johnson City, Tennessee - 37601-4007. She can be contacted on phone at
423-431-5339.
Dr. Jamie Len Blackwell is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jamie Len Blackwell is
1770518508 which was assigned by NPPES on 11 Jul, 2006 and it was last updated on 30 Mar, 2011.
Dr. Jamie Len Blackwell license number is
MD39832 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Tennessee.
Dr. Jamie Len Blackwell has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jamie Len Blackwell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jamie Len Blackwell |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jamie Len Blackwell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 409 E Chilhowie Ave
Johnson City, TN, 37601-4007
United States |
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| Phone Number : | 423-431-5339 |
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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 : | 1770518508 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jul, 2006 |
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| Last Updated On : | 30 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jamie Len Blackwell are as mentioned. Primary taxonomy code for Dr. Jamie Len Blackwell, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | MD39832 | TN |
| 208000000X | Pediatrics | No | MD39832 | TN |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD39832 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jamie Len Blackwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4104189 | Other | TN | BCBS OF TENNESSEE |
| 3332689 | MEDICAID | TN | |
| 009932458 | MEDICAID | AL | |
| 096905733A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 409 E Chilhowie Avenue
Johnson City, TN, 37601-0001
United States |
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| Phone Number : | 866-916-5259 |
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| Fax Number : | 866-789-6181 |
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Business Location:
Patients can refer following map for directions to
Dr. Jamie Len Blackwell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.