Health Care Hiring, Medical Jobs
Search from millions of jobs nationwide
Find health care employers in your area
NPI Search for Physicians and Health Care Providers
BRENT BLACKBURN AG-ACNP
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1548669823
Individual Registrant: BRENT BLACKBURN AG-ACNP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
113 WEST RUBY STREET STEPHENS, AR 71764 US
Tel: 870-786-9114 Fax: --
Tel: 870-786-9114 Fax: --
Contact information for business:
PO BOX 797 CAMDEN, AR 71711-0797 US
Tel: 870-836-1200 Fax: --
Tel: 870-836-1200 Fax: --
Registration Information:
NPI: 1548669823
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | AR | A004186 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
