Individual provider · Type 1 NPI

Deborah A. Blackwell, MSN, RN, FNP-C

Nurse Practitioner · St. Louis, MO

NPI number 1497905590 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Call (314) 652-4100 Map

Fax (314) 894-6594

Mailing address

240 Birchlawn Dr
Florissant, MO 63033-6333

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X123558 (MO)
Registered Nurse 163W00000X123558 (MO)
Peritoneal Dialysis Registered Nurse 163WD1100X123558 (MO)
Nephrology Registered Nurse 163WN0300X123558 (MO)
Family Nurse Practitioner 363LF0000X123558 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497905590

Deborah A. Blackwell, MSN, RN, FNP-C's National Provider Identifier is 1497905590, issued on Sep 24, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 18, 2024.