Gladys Blackburn, NP is a family nurse practitioner in South Bend, IN. Gladys Blackburn, NP NPI is 1861005589. 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:
1901 W WESTERN AVE STE B
SOUTH BEND, IN
ZIP 46619-570
Phone: (574) 234-9033
The NPI 1861005589 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 8/24/2020 and was last updated on 11/9/2022.