JENNIFER ANN BLACKBURN PMHNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1700643160- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PMHNP-C
- Status
- Active
Contact & Location
- Address
- 2006 1ST AVE STE 602, DODGE CITY, KS, 678012623
- Phone
- (620) 253-5789
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: KS #53-84581-051