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

Ryan Blackburn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124976543

Ryan Blackburn is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1265 Union Ave
Memphis, TN 38104-3415
Phone: (914) 637-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124976543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address3029 Cordie Lee Ln, Germantown, TN 38138-8136

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