Individual
JANNA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
13629 AUDRAIN ROAD 9813, MEXICO, MO 65265-6558
(573) 473-7988
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
2003015604
MO
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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