person
Misty Blackburn, NP
Family Nurse Practitioner in Columbus, Indiana
NPI 1770137044

Misty Blackburn is a Family Nurse Practitioner based in Chicago, IN and is specialized in Family. Misty Blackburn practices in Columbus, IN and has the professional credentials of NP. The NPI Number for Misty Blackburn is 1770137044 and holds a License No. 71009109A (Indiana).

The current practice location address for Misty Blackburn is 2502 25Th St, Columbus, IN and can be reached out via phone at 812-372-8883 and via fax at 812-373-3265.

Location: 2502 25Th St, Columbus, IN, 60677-5383
person
Provider Profile Details
NPI Number
1770137044
Provider Name
Misty Blackburn
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2502 25Th St, Columbus, IN, 60677-5383
Phone Number
812-372-8883
Fax Number
812-373-3265
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2502 25Th St
City
State
Zip
47201-3728
Phone Number
812-372-8883
Fax Number
812-373-3265
person
Provider Business Mailing Address Details
Address
2502 25Th St
City
State
Zip
47201-3728
Phone Number
812-372-8883
Fax Number
812-373-3265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009109A (Indiana)
Definition
Definition to come...
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