DEVON M BLACKBURN

INDIANAPOLIS, IN
NPI1255706602
Other NameDEVON M LOHR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71005960A)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  71005960A)
Enumeration Date2015-12-10
Last Update Date2021-01-28
Business Address
Mrs. DEVON M BLACKBURN NP
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
Mailing Address
Mrs. DEVON M BLACKBURN NP
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: