Individual
SUZANNA C BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
521 WILBURN RD, HEBER SPRINGS, AR 72543-8714
(501) 270-4200
Mailing address
521 WILBURN RD, HEBER SPRINGS, AR 72543-8714
(501) 270-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003348
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185575758
—
AR
01
—
ATP000263
APN LICENSE
AR
Enumeration date
03/17/2010
Last updated
07/27/2023
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