MICHELLE LEE BLACKBURN FNP NPI 1265172779

NPI Information

NPI: 1265172779
Provider Name: MICHELLE LEE BLACKBURN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12600 HILL COUNTRY BLVD BLDG R-103
AUSTIN, TX
ZIP 78738
Phone: (512) 358-8180
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Michelle Lee Blackburn, FNP is a family nurse practitioner in Austin, TX with 3 years of experience. Michelle Lee Blackburn, FNP NPI is 1265172779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12600 HILL COUNTRY BLVD BLDG R-103
AUSTIN, TX
ZIP 78738-891
Phone: (512) 358-8180
Fax: (855) 270-9668

The NPI 1265172779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1029771	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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