MARY JO BLANTON (NPI# 1497784466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497784466 |
| Entity Type | Individual |
| Full Name | MARY JO BLANTON |
| Credential | CFNP |
| Practice Address |
4413 Oakwood Dr Suite 203 Chattanooga TN 37416-2367 |
| Mailing Address |
333 Commerce St Ste 700 Nashville TN 37201-1835 |
| Practice Telephone | 4236641140 |
| Practice Fax Number | 8889656806 |
| Mailing Telephone | 6159135086 |
| Mailing Fax Number | 8884942588 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R858448 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01674813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326154 | Mary Blanton | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2018-05-16 |
| Street Address |
4413 OAKWOOD DR SUITE 203 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37416-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255703 | Comprehensive Care, LLC | Adult Companion | 4413 Oakwood Dr, Chattanooga, TN 37416-2367 | 2020-05-06 |
| 1891124780 | Tayler N Orr | Nurse Practitioner | 4413 Oakwood Dr, Chattanooga, TN 37416-2367 | 2013-11-01 |
| 1467721183 | Palliative Care Services, LLC | Family Medicine | 4413 Oakwood Dr, Chattanooga, TN 37416-2367 | 2011-12-27 |
| 1932494275 | Meghan Patterson Oakley | Nurse Practitioner | 4413 Oakwood Dr, Chattanooga, TN 37416-2367 | 2011-06-15 |
| 1255662243 | Michele Didiego | Registered Nurse | 4413 Oakwood Dr, Chattanooga, TN 37416-2367 | 2010-01-15 |
| 1851465439 | Wendy Lee Beck | Nurse Practitioner | 4413 Oakwood Dr, Chattanooga, TN 37416-3699 | 2006-11-17 |
| 1063506616 | Susan Elizabeth Ross | Nurse Practitioner | 4413 Oakwood Dr, Chattanooga, TN 37416 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1528501517 | Tabitha Richelle Bell | Home Health | 6379 Plantation Dr, Chatt, TN 37416 | 2016-11-23 |
| 1588785109 | Mark Stephen Cowart | Dentist | 4355 Hwy 58, #103a, Chattanooga, TN 37416 | 2007-04-02 |
| 1558485334 | Robert Joseph Gallien | Dentist | 4620 Hwy 58, Chattanooga, TN 37416 | 2007-03-19 |
| 1154464782 | Carol Guess | Nurse Practitioner | 7380 Volkswagen Drive, Suite #110, Chattanooga, TN 37416 | 2007-02-14 |
| 1073615464 | Kristen Beeler Conner | Dentist | 4972 Highway 58 Ste 114, Chattanooga, TN 37416 | 2006-09-05 |
| 1003865536 | Stephen C Miller | Family Medicine | 7380 Volkswagon Drive, Suite 110, Chattanooga, TN 37416 | 2006-05-10 |
| 1740773241 | Nicholas Adam Jenkins | Physical Therapist | 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 | 2018-06-08 |
| 1639695034 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4434 Highway 58, Chattanooga, TN 37416 | 2017-08-17 |
| Find all providers in zip 37416 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1477093177 | David A Smith | Nurse Practitioner | 445 Bouton Dr, Chattanooga, TN 37415-2321 | 2017-02-28 |
| 1689048803 | Rosalind Jones | Nurse Practitioner | 2430 Woodthrush Dr, Chattanooga, TN 37421-1336 | 2015-11-27 |
| 1912149485 | Alice Sue Coulter | Nurse Practitioner | 823 Mccallie Ave, Chattanooga, TN 37403-2613 | 2009-03-30 |
| 1609860667 | Teena Brewer Carr | Nurse Practitioner | 2108e 3rd St 100, Chattanooga, TN 37404-2623 | 2005-09-07 |
| 1477938934 | Lori Hill | Nurse Practitioner | 979 E 3rd St, Suite A0540, Chattanooga, TN 37403-2136 | 2015-07-27 |
| 1730428764 | Lauren Barlew | Nurse Practitioner | 2341 Mccallie Ave Ste 302, Chattanooga, TN 37404-3237 | 2013-02-12 |
| 1144597600 | Melinda Ruth Helton | Nurse Practitioner | 2525 Desales Avenue, Chattanooga, TN 37415 | 2011-11-28 |
| 1982984092 | Rhonda Joy Edmons Simmons | Nurse Practitioner | 2300 E 3rd St, Suite A, Chattanooga, TN 37404-2700 | 2011-08-19 |
| 1972837680 | Laura Beth Wendt | Nurse Practitioner | 605 Glenwood Dr, Suite 404, Chattanooga, TN 37404-1175 | 2009-09-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37416 |
Please comment or provide details below to improve the information on MARY JO BLANTON.
| 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.