Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SAMANTHA D'ANN BLACKBURN, PMHNP-BC; FNP-C
Active Sole ProprietorMRS. SAMANTHA D'ANN BLACKBURN, PMHNP-BC; FNP-C is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MERIDIAN, Idaho. NPI 1811534613 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MERIDIAN, ID
Registration Details
- NPI Number
- 1811534613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2019 (6.6865430678467 yrs)
- Last Updated
- Feb 24, 2026
- Licenses
-
65041 (ID)47259 (ID)65041 (ID)65041 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3709 N LOCUST GROVE RD STE 150MERIDIAN, ID, 836465924Browse ID providers · Browse ZIP 83646
- Phone
- 2082085430
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Acute Care Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| KERRIE L PETECH | R.N. ARNP-CNP | 1265414544 |
| MS. SUSAN M DERIVAS | CNP | 1851493829 |
| MARK A JEPSON | NP | 1306089271 |
| MR. JEREMY LEE HURST | RN, MSN, NP-C | 1275816902 |
| MRS. REBEKAH DANIELLE NATION | APRN, PMHNP-BC | 1134497464 |
| ANN MARIE COREY | N.P. | 1821359522 |
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.