Individual
ERICA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
238 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 430-2230
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100275920
—
KY
Enumeration date
11/04/2013
Last updated
03/18/2025
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