Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John Stephen Blackburn, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164490801

Mr. John Stephen Blackburn, CRNA is a Certified Registered Nurse Anesthetist in Irmo, South Carolina. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

7210G Broad River Rd
Irmo, SC 29063-7972
Phone: (803) 407-5266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 11770 (TN)

Record details

NPI number1164490801
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJuly 8, 2007

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