Individual provider · Type 1 NPI

Samantha D'ann Blackburn, PMHNP-BC; FNP-C

Psychiatric/Mental Health Nurse Practitioner · Meridian, ID

NPI number 1811534613 Active

Practice location

3709 N Locust Grove Rd Ste 150
Meridian, ID 83646-5924

Fax (208) 208-5431

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X65041 (ID)
Family Nurse Practitioner 363LF0000X65041 (ID)
Registered Nurse 163W00000X47259 (ID)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X65041 (ID)

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

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About NPI 1811534613

Samantha D'ann Blackburn, PMHNP-BC; FNP-C's National Provider Identifier is 1811534613, issued on Nov 29, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on May 7, 2026.