Doctor Name: | LISA M BLACKBURN |
NPI Number: | 1942381660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | NS05202 RN 204106 |
Business Practice Address: | 300 W 10th Ave Columbus, OH - 432101280 |
Business Phone Number: | 6144250257 |
Business Fax Number: | 6142936420 |
Mailing Address: | 700 Ackerman Rd, Suite 260 COLUMBUS |
State: | OH |
Postal Code: | 432021559 |
Phone Number: | 6149473700 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | NS05202 RN 204106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |