Provider Demographics
NPI:1437941481
Name:BLACKBURN, JORDYN CHRISTINE (NP)
Entity type:Individual
Prefix:
First Name:JORDYN
Middle Name:CHRISTINE
Last Name:BLACKBURN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JORDYN
Other - Middle Name:CHRISTINE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1890 ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-1425
Mailing Address - Country:US
Mailing Address - Phone:925-285-7021
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE STE 501
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-502-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034941363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care