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 Date2020-11-02
Business Address
MISTY BLACKBURN NP
2502 25TH ST
COLUMBUS, IN 47201-3728
Phone number: 812-372-8883
Mailing Address
MISTY BLACKBURN NP
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-373-3000
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