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Tierra Elonda Blackmon
Family Nurse Practitioner in Dallas, Texas
NPI 1003261363

Tierra Elonda Blackmon is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Tierra Elonda Blackmon practices in Dallas, TX. The NPI Number for Tierra Elonda Blackmon is 1003261363 and holds a License No. 901816 (Texas).

The current practice location address for Tierra Elonda Blackmon is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-633-5555.

Location: 5323 Harry Hines Blvd, Dallas, TX, 75248-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003261363
Provider Name
Tierra Elonda Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
5323 Harry Hines Blvd, Dallas, TX, 75248-7208
Phone Number
214-633-5555
Fax Number
Provider Enumeration Date
04/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75390-7208
Phone Number
214-633-5555
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75390-7208
Phone Number
214-633-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP132292 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
901816 (Mississippi)
Definition
Definition to come...
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