Individual provider · Type 1 NPI

Denise P. Blackburn, APRN, FNP-BC

Family Nurse Practitioner · Fenton, MO

NPI number 1043568280 Active

Practice location

1011 Bowles Ave, Suite G10
Fenton, MO 63026-2395

Fax (314) 965-1127

Mailing address

2124 Martina Dr
Washington, MO 63090-5213

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X125820 (MO)
Family Nurse Practitioner Primary 363LF0000X2012021023 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1043568280

Denise P. Blackburn, APRN, FNP-BC's National Provider Identifier is 1043568280, issued on Aug 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fenton, MO. The record was last updated on Aug 20, 2012.