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

Peter Joel Blackburne, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1801371786

Peter Joel Blackburne, RN is a Psychiatric/Mental Health Registered Nurse in Valley Stream, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3 Jefferson Ave
Valley Stream, NY 11580-2925
Phone: (718) 775-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 535252 (NY)

Record details

NPI number1801371786
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 26, 2018
Last updated in NPPESOctober 10, 2018
Mailing address3 Jefferson Ave, Valley Stream, NY 11580-2925

Other providers in Valley Stream