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

Dr. Corinne Nicole Blackburn, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1215590880

Dr. Corinne Nicole Blackburn, MD is a Pediatric Adolescent Medicine Physician in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1002 Wishard Blvd Ste 1100
Indianapolis, IN 46202-4164
Phone: (317) 274-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 01099768A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215590880
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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