Mrs. Samantha D'ann Blackburn is a Fruitland, Idaho based nurse practitioner with 5 years of experience in . She completed her graduation in 2020. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Samantha D'ann Blackburn is 65041 for Family in Idaho. Her current practice location is 808 N Whitley Dr, Fruitland. Patients can reach her at 208-452-2672. Mrs. Samantha D'ann Blackburn is AGACNP - BC; FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1811534613. Mrs. Samantha D'ann 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:
Mrs. Samantha D'ann Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
PAC ID:
9234536855
Enrollment ID:
I20210924001101
NPI Number:
1811534613
NPI Enumeration Date:
29 Nov, 2019
NPI Last Update On:
07 Jan, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Samantha D'ann Blackburn are as mentioned below.
License Number
Specialization
State
Status
65041
Family
Idaho
Primary
47259
Registered Nurse
Idaho
Secondary
65041
Acute Care
Idaho
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(131318)
Emmett, ID
Critical Access Hospital
(130006)
Boise, ID
Acute Care Hospital
(380052)
Ontario, OR
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Samantha D'ann Blackburn is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ancora Hospice And Palliative Services, Llc (6204230980)
2
Black Canyon Medical Group Pllc (8123393071)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Samantha D'ann Blackburn 808 N Whitley Dr, Fruitland, Idaho
Zip:
83619-2437
Phone Number:
208-452-2672
Patients can reach Mrs. Samantha D'ann Blackburn at 808 N Whitley Dr, Fruitland, Idaho or can call to book an appointment on 208-452-2672.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.