Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA BLACKBURN
ActivePATRICIA BLACKBURN is a Physician Assistant healthcare provider located in OGLESBY, Illinois. NPI 1790157642 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OGLESBY, IL
Registration Details
- NPI Number
- 1790157642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2015 (10.765896706121 yrs)
- Last Updated
- Jan 26, 2017
- License
-
085005712 (IL)
Practice Information
- Address
-
520 W WALNUT STOGLESBY, IL, 613481400Browse IL providers · Browse ZIP 61348
- Phone
- 8158833588
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.