Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS STACEY MELISSA BLACKMAN, APN
ActivePrimary Care Nurse Practitioner · EAST ORANGE, NJ
Registration Details
- NPI Number
- 1366760373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2010 (15.937718951657 yrs)
- Last Updated
- Jul 25, 2018
- Licenses
-
26NJ00286100 (NJ)26NJ00286100 (NJ)26NJ00286100 (NJ)
Practice Information
- Address
-
9 WAYNE AVEEAST ORANGE, NJ, 07018Browse NJ providers · Browse ZIP 07018
- Phone
- 2013418190
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in EAST ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. BEENA MATHEW | APN | 1912029281 |
| GLENNENA HAYNES-SMITH | — | 1427294586 |
| MS. DONNA PERSAUD | APN | 1154873453 |
| IRIS BERANGELL ACOSTA AMEZQUITA | APN | 1295482610 |
| TRACY TAPPIN-GREENE | — | 1770201121 |
| PRISCILLA ANN RIVERA | APN | 1417653601 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.