person
Charles Dean Blackburn, FNP-BC
Family Nurse Practitioner in Saint Clair, Missouri
NPI 1821449679

Charles Dean Blackburn is a Family Nurse Practitioner based in Chicago, MO and is specialized in Family. Charles Dean Blackburn practices in Saint Clair, MO and has the professional credentials of FNP-BC. The NPI Number for Charles Dean Blackburn is 1821449679 and holds a License No. 2016019132 (Missouri).

The current practice location address for Charles Dean Blackburn is 1001 Cardwell St, Saint Clair, MO and can be reached out via phone at 636-629-3300 and via fax at 636-629-7377.

Location: 1001 Cardwell St, Saint Clair, MO, 60677-6084
person
Provider Profile Details
NPI Number
1821449679
Provider Name
Charles Dean Blackburn
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1001 Cardwell St, Saint Clair, MO, 60677-6084
Phone Number
636-629-3300
Fax Number
636-629-7377
Provider Enumeration Date
06/23/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1001 Cardwell St
City
State
Zip
63077-1094
Phone Number
636-629-3300
Fax Number
636-629-7377
person
Provider Business Mailing Address Details
Address
1001 Cardwell St
City
State
Zip
63077-1094
Phone Number
636-629-3300
Fax Number
636-629-7377
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2016019132 (Missouri)
Definition
Definition to come...
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