Charles Dean Blackburn, FNP-BC
NPI #1821449679 in Saint Clair, Missouri
Provider Information
- NPI Number
- 1821449679
- Entity Type
- Individual
- Name
- Charles Dean Blackburn, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Jun 23, 2016
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 1001 CARDWELL ST
- City
- Saint Clair
- State
- Missouri
- ZIP Code
- 63077-1094
- Phone
- (636) 629-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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