Charles Dean Blackburn, FNP-BC
Charles Dean Blackburn, FNP-BC is a Nurse Practitioner in Saint Clair, Missouri. Qualified in 2015, 11 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Missouri.
- Years since qualifying
- 11
- Licensed in
- IN, MO
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- FNP-BC — Family Nurse Practitioner, Board Certified
- A family nurse practitioner certified by the ANCC.
Practice location Address checks out
1001 Cardwell StSaint Clair, MO 63077-1094
Phone: (636) 629-3300
Fax: (636) 629-7377
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 800 W 9th St, Jasper, IN 47546-2514 — (812) 996-2345
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71006846A (IN) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 2016019132 (MO) |
Record details
| NPI number | 1821449679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2016 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Mercy Clinic East Communities — 573 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Saint Clair
-
Mrs. Leah Anne Miles
1001 Cardwell St, Saint Clair, MO 63077-1094 · (636) 629-3300