Search › New Jersey › 363LP2300X
Stacey Blackman, APN
NPI 1366760373 · on the registry since 2010
Practice
- Address
- 9 Wayne Ave
East Orange, NJ 07018 - Phone
- (201) 341-8190
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 173000000X
363LF0000X - Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey