Individual
MICHELLE LEE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 260-8613
(859) 977-2683
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013692
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001412285
ANTHEM PIN
—
01
—
11927004
PRIME HEALTH SERVICES PROVIDER ID NUMBER
—
05
—
1578111514
—
WV
01
—
2280380
WELLCARE OF KY PROVIDER ID NUMBER
KY
01
—
2888861
SIHO PROVIDER ID NUMBER
—
05
—
30016213740001
—
VA
01
—
3269903
HUMANA PROVIDER ID NUMBER
—
01
—
3647663
CIGNA PROVIDER ID NUMBER
—
05
—
7100685560
—
KY
01
—
7480347
UNITED HEALTHCARE PROVIDER ID
—
01
—
CS2027500166
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000623076
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
09/03/2019
Last updated
04/28/2025
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