Individual provider · Type 1 NPI
Gladys Blackburn, NP
Family Nurse Practitioner · Peru, IN
NPI number
1861005589
Active
Practice location
285 W 12th St Ste 206
Peru, IN 46970-1654
Other practice locations
- 1901 W Western Ave Ste B, South Bend, IN 46619-3570 · (574) 234-9033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28222639A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71010379A (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Peru
- Elaine OlsonFamily Nurse Practitioner Peru, IN NPI 1023717907
- Alexis GuyerFamily Nurse Practitioner Peru, IN NPI 1093632317
- Jay Lee Hoeksema, NPFamily Nurse Practitioner Peru, IN NPI 1124625926
- Joanna Leigh Moore, FNP-BCFamily Nurse Practitioner Peru, IN NPI 1326686395
- Staci Diane Thompson, FNP-CFamily Nurse Practitioner Peru, IN NPI 1417400755
- Megan L. Catt, FNP-CFamily Nurse Practitioner Peru, IN NPI 1417706862
- Katina A. Everding, NPFamily Nurse Practitioner Peru, IN NPI 1538314356
- Kaylee BohnFamily Nurse Practitioner Peru, IN NPI 1619835196
About NPI 1861005589
Gladys Blackburn, NP's National Provider Identifier is 1861005589, issued on Aug 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peru, IN. The record was last updated on Feb 28, 2025.