Carolyn Ann Blackburn, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Chillicothe, MO

NPI

1902336431

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

2017032960 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-06-18

Last updated

2025-02-11