Individual provider · Type 1 NPI

Stephanie A. Blackburn, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Parsons, KS

NPI number 1174317697 Active

Practice location

2100 Commerce Dr
Parsons, KS 67357-4951

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X4704328770 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X53-84248-042 (KS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174317697

Stephanie A. Blackburn, APRN, PMHNP-BC's National Provider Identifier is 1174317697, issued on Apr 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Parsons, KS. The record was last updated on Jun 24, 2025.