ALEXANDRA BLACKBURN


Address: 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500
Phone: 4043650966

ALEXANDRA BLACKBURN (NPI# 1497316343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497316343
Entity Type Individual
Full Name ALEXANDRA BLACKBURN
Other Name ALEXANDRA BLACKBURN WHIPPLE
Credential FNP-C
Practice Address 2400 Mount Zion Pkwy
Jonesboro
GA 30236-2500
Mailing Address 3495 Piedmont Rd Ne
Atlanta
GA 30305-1717
Practice Telephone 4043650966
Mailing Telephone 4043647285
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN224953 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2400 MOUNT ZION PKWY
City JONESBORO
State GA
Zip Code 30236-2500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871568303 David W Lazan Urology 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2006-02-20
1033721113 Hannah Yael Paull Psychologist 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2020-08-19
1811459944 Lisa Fraser-powell Social Worker 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2019-04-06
1093244220 Megan Deanne Griffin Physician Assistant 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2017-06-10
1104358803 Simone Keinia Sharp-bucknor Registered Nurse 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2017-03-31
1740712454 Lisa Pruitt Registered Nurse 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2017-03-31
1063952752 Kayla Randle Pharmacist 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 2017-03-01
1952849531 Anna Broadus Nurse Practitioner 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2017-02-03
1649656653 Hector George Clarke Jr. Pharmacist 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2015-08-03
1396139036 Courtney Howard Psychiatry & Neurology 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2015-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902457971 Ifeoma Adazi Nurse Practitioner 9620 Ivey Ridge Cir, Jonesboro, GA 30238-4161 2019-09-21
1770075574 Susan Eileen Schorer Nurse Practitioner 303 E Matthews Ave Ste 200, Jonesboro, AR 72401-3120 2018-06-06
1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1386819654 Jennifer Dawn Jarrett Nurse Practitioner 3024 Red Wolf Blvd Ste 6, Jonesboro, AR 72401-7415 2008-04-28
1386759660 Mary Elizabeth Hartwig Nurse Practitioner 223 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-20
1114524147 Independence Anesthesia LLC Nurse Practitioner 1710 Mayfield Dr, Jonesboro, AR 72401-4563 2020-10-02
1225689151 Rocio Emy Roades Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-09-23
1790344562 Lara Ann Mcglothlin Nurse Practitioner 1319 Red Wolf Blvd Ste C, Jonesboro, AR 72401-4585 2019-06-06
1154815843 Melody Lynn Kent Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2018-06-18
1053819417 Kristen Paige Neldon Nurse Practitioner 201 E Oak Ave, Jonesboro, AR 72401-4163 2018-01-31
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Competitor

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City JONESBORO
Zip Code 30236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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