Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Ann Blackburn, FNP-C

Individual provider Registered Nurse · NPI 1902336431

Carolyn Ann Blackburn, FNP-C is a Nurse Practitioner in Chillicothe, Missouri. Qualified in 2017, 9 years ago. Practices with Hannibal Regional Healthcare System Inc, a 259-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

245 S Washington St
Chillicothe, MO 64601-3031
Phone: (660) 752-9006
Fax: (660) 258-9006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017032960 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2008017992 (MO)

Record details

NPI number1902336431
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 18, 2017
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hannibal Regional Healthcare System Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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