Blackburn, Denise P

Blackburn, Denise P is an individual health care provider with primary practice located at 1011 Bowles Ave Suite G10, Fenton MO 63026-2395. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackburn, Denise P can be contacted via phone (314) 965-9980.

Contact Information

Primary practice address
1011 Bowles Ave Suite G10 Fenton MO 63026-2395
Phone: (314) 965-9980
Fax: (314) 965-1127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 125820 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2012021023 Missouri

Profile Details

NPI number 1043568280
LBN Legal business name Blackburn, Denise P
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2012
Last updated Aug 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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