Tyler Blocker, CRNA
Nurse Anesthetist, Certified Registered in Jackson, TN. Individual provider (NPI-1).
NPI number1205269305
StatusActive
Last updated in NPPESMay 24, 2018
Details
- NPI
- 1205269305
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler Blocker
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2013
- Last updated
- May 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 17863 | TN | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | R879792 | MS |
Practice location
620 Skyline DrJackson, TN 38301-3923
Phone 731-541-5000
Mailing address
1068 Cresthaven RdSuite 150
Memphis, TN 38119-0800
Other practice locations
27 Medical Center Dr
Jackson, TN 38301-3949
Jackson, TN 38301-3949
Phone 731-424-1001
700 W Forest Ave
Jackson, TN 38301-3937
Jackson, TN 38301-3937
Phone 731-541-8800
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