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

Deborrah Blackburn

Individual provider Family Medicine Physician · NPI 1710828322

Deborrah Blackburn is a Family Medicine Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

12680 Olive Blvd Ste 300
Saint Louis, MO 63141-6322
Phone: (314) 251-8888
Show map & directions

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

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-8888

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2026021559 (MO)

Record details

NPI number1710828322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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