Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jateum Mauree Blackburn, FNP-C

Individual provider Family Nurse Practitioner · NPI 1265818983

Jateum Mauree Blackburn, FNP-C is a Nurse Practitioner in Cleveland, Tennessee. Qualified in 2015, 11 years ago. Practices with Bradley Physician Services, LLC, a 77-clinician group. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2253 Chambliss Ave NW Ste 400
Cleveland, TN 37311-3861
Phone: (423) 476-5002
Fax: (423) 476-5969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20240 (TN)

Record details

NPI number1265818983
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bradley Physician Services, Llc — 77 clinicians
Accepts Medicare assignment Not indicated

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