Individual provider · Type 1 NPI

Corinne Nicole Blackburn, MD

Pediatric Adolescent Medicine Physician · Indianapolis, IN

NPI number 1215590880 Active

Practice location

1002 Wishard Blvd Ste 1100
Indianapolis, IN 46202-4164

Call (317) 274-8812 Map

Mailing address

PO Box 719094
Chicago, IL 60677-9318

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X01099768A (IN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1215590880

Corinne Nicole Blackburn, MD's National Provider Identifier is 1215590880, issued on Apr 18, 2019. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 6, 2026.