Gladys Blackburn is a South Bend, Indiana based nurse practitioner. Active license number of Gladys Blackburn is 71010379A for Family in Indiana. Her current practice location is 1901 W Western Ave Ste B, South Bend. Patients can reach her at 574-234-9033. Gladys Blackburn is NP and her NPI number (Unique professional ID assigned by NPPES) is 1861005589. Gladys Blackburn has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Gladys Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Gladys Blackburn
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
1901 W Western Ave Ste B, South Bend, Indiana, 46619-3570
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861005589
NPI Enumeration Date:
24 Aug, 2020
NPI Last Update On:
09 May, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gladys Blackburn are as mentioned below.
License Number
Specialization
State
Status
71010379A
Family
Indiana
Primary
28222639A
Registered Nurse
Indiana
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gladys Blackburn 285 W 12th St Ste 206, Peru, Indiana
Zip:
46970-1654
Phone Number:
765-472-5335
Fax Number:
260-479-2921
Patients can reach Gladys Blackburn at 1901 W Western Ave Ste B, South Bend, Indiana or can call to book an appointment on 574-234-9033.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.