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

Nichole Marie Blackburn, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154027829

Nichole Marie Blackburn, FNP-C is a Nurse Practitioner in Elk City, Oklahoma. Qualified in 2020, 6 years ago. Practices with Urology Associates, Inc, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

522 N Main St
Elk City, OK 73644-4241
Phone: (580) 243-2200
Fax: (580) 303-4712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1315 N Washington St, Weatherford, OK 73096-2443 — (580) 772-2344

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 211675 (OK)

Record details

NPI number1154027829
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2023
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Urology Associates, Inc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Elk City