Lisa M Blackburn, CNS
Clinical Nurse Specialist in Columbus, OH. Individual provider (NPI-1).
NPI number1942381660
StatusActive
Last updated in NPPESJan 10, 2019
Details
- NPI
- 1942381660
- Entity type
- Individual (NPI-1)
- Name
- Lisa M Blackburn
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Last updated
- Jan 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | NS05202 RN 204106 | OH | Yes |
Practice location
300 W 10th AveColumbus, OH 43210-1280
Phone 614-425-0257 · Fax 614-293-6420
Mailing address
700 Ackerman RdSte 570
Columbus, OH 43202-1579
Phone 614-947-3700
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