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Michelle Lee Blackburn, MSN,APRN,NP-C
Family Nurse Practitioner in Pikeville, Kentucky
NPI 1578111514

Michelle Lee Blackburn is a Family Nurse Practitioner based in Belfast, KY and is specialized in Family. Michelle Lee Blackburn practices in Pikeville, KY and has the professional credentials of MSN,APRN,NP-C. The NPI Number for Michelle Lee Blackburn is 1578111514 and holds a License No. 3013692 (Kentucky).

The current practice location address for Michelle Lee Blackburn is 255 Church St Ste 101, Pikeville, KY and can be reached out via phone at 606-260-8613 and via fax at 859-977-2683. You can also correspond with Michelle Lee Blackburn through the mailing address at PO BOX 21890, BELFAST, ME - 04915-4115 (mailing address contact number: 502-907-0356).

Location: 255 Church St Ste 101, Pikeville, KY, 04915-4115
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Provider Profile Details
NPI Number
1578111514
Provider Name
Michelle Lee Blackburn
Credential
MSN,APRN,NP-C
Provider Entity Type
Individual
Gender
Female
Address
255 Church St Ste 101, Pikeville, KY, 04915-4115
Phone Number
606-260-8613
Fax Number
859-977-2683
Provider Enumeration Date
09/03/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2280380 01 KY WELLCARE OF KY PROVIDER ID NUMBER
1578111514 05 WV
7100685560 05 KY
000001412285 01 ANTHEM PIN
3269903 01 HUMANA PROVIDER ID NUMBER
7480347 01 UNITED HEALTHCARE PROVIDER ID
11927004 01 PRIME HEALTH SERVICES PROVIDER ID NUMBER
30016213740001 05 VA
3647663 01 CIGNA PROVIDER ID NUMBER
CS2027500166 01 CARESOURCE PROVIDER ID NUMBER
2888861 01 SIHO PROVIDER ID NUMBER
PDZ000000623076 01 KY AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
255 Church St Ste 101
City
State
Zip
41501-3476
Phone Number
606-260-8613
Fax Number
859-977-2683
person
Provider Business Mailing Address Details
Address
255 Church St Ste 101
City
State
Zip
41501-3476
Phone Number
606-260-8613
Fax Number
859-977-2683
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3013692 (Kentucky)
Definition
Definition to come...
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