Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DEAN BLACKBURN, FNP-BC
Active Sole ProprietorCHARLES DEAN BLACKBURN, FNP-BC is a Family Nurse Practitioner healthcare provider located in SAINT CLAIR, Missouri. NPI 1821449679 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SAINT CLAIR, MO
Registration Details
- NPI Number
- 1821449679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2016 (9.9604024586747 yrs)
- Last Updated
- Sep 25, 2024
- Licenses
-
2016019132 (MO)71006846A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 CARDWELL STSAINT CLAIR, MO, 630771094Browse MO providers · Browse ZIP 63077
- Phone
- 6366293300
- Fax
- 6366297377
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in SAINT CLAIR, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JESSICA FREIBERGER | — | 1568814234 |
| MRS. LEAH ANNE MILES | — | 1922574524 |
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.