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

Simone Blackburn

Individual provider Women's Health Nurse Practitioner · NPI 1669309464

Simone Blackburn is a Women's Health Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

111 S 11th St
Philadelphia, PA 19107-4870
Phone: (714) 655-9299
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence SP032163 (PA)

Record details

NPI number1669309464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 1, 2026

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