Individual provider · Type 1 NPI
Jennifer Ann Blackburn, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Dodge City, KS
NPI number
1700643160
Active · reactivated Jul 23, 2026
Practice location
2006 1st Ave Ste 602
Dodge City, KS 67801-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 53-84581-051 (KS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Dodge City
About NPI 1700643160
Jennifer Ann Blackburn, PMHNP-C's National Provider Identifier is 1700643160, issued on Mar 4, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dodge City, KS. The record was last updated on Jul 23, 2026.