Individual provider · Type 1 NPI
Devon M. Blackburn, NP
Adult Health Nurse Practitioner · Indianapolis, IN
NPI number
1255706602
Active
Practice location
1800 N Capitol Ave, Np E-140
Indianapolis, IN 46202-1218
Fax (317) 963-5285
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71005960A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71005960A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1255706602
Devon M. Blackburn, NP's National Provider Identifier is 1255706602, issued on Dec 10, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 10, 2025.