MISTY BLACKBURN

COLUMBUS, IN
NPI1770137044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009109A)
Enumeration Date2019-07-25
Last Update Date2026-03-26
Business Address
MISTY BLACKBURN NP
3015 10TH ST STE A
COLUMBUS, IN 47201-7091
Phone number: 812-372-8883
Mailing Address
MISTY BLACKBURN NP
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315
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