# SERENITY SPRINGS WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225994866
- **Authorized official:** SAMANTHA BLACKBURN NP (NP/MANAGER, PROVIDER)
- **Authorized official phone:** (208) 208-5430

## Contact information

- **Practice address:** 3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646-5924
- **Practice address phone:** (208) 208-5430
- **Practice address fax:** (208) 208-5431
- **Mailing address:** 3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646-5924
- **Mailing address phone:** (208) 208-5430
- **Mailing address fax:** (208) 208-5431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 05/07/2026