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General NPI Number Information
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NPI Number | 1437941481
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Entity Type | Individual
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Provider Name | JORDYN CHRISTINE BLACKBURN NP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE STE 501
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-502-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 1890 ANDREWS DR
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City | CONCORD
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State | CA
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Zip | 94521-1425
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Country | US
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Telephone | 925-285-7021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95034941
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License Number State | CA
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