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

Mrs. Samantha D'Ann Blackburn, PMHNP-BC, FNP-C

Individual provider Acute Care Nurse Practitioner · NPI 1811534613

Mrs. Samantha D'Ann Blackburn, PMHNP-BC, FNP-C is an Acute Care Nurse Practitioner in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
Specialties on file
4
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3709 N Locust Grove Rd Ste 150
Meridian, ID 83646-5924
Phone: (208) 208-5430
Fax: (208) 208-5431
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 65041 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 65041 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 65041 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 47259 (ID)

Record details

NPI number1811534613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , FNP-C
Sole proprietorYes
NPI enumeratedNovember 29, 2019
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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