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

Johnnie Blackburn

Individual provider Family Nurse Practitioner · NPI 1760351944

Johnnie Blackburn is a Nurse Practitioner in Tallahassee, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3520 Epsey Allen Ln
Tallahassee, FL 32310-8257
Phone: (773) 459-9912
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11043245 (FL)

Record details

NPI number1760351944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address3520 Epsey Allen Ln, Tallahassee, FL 32310-8257

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Tallahassee