person
Katrina Marie Blackard, NP
Primary Care Nurse Practitioner in Southaven, Mississippi
NPI 1467051029

Katrina Marie Blackard is a Primary Care Nurse Practitioner based in Memphis, MS and is specialized in Primary Care. Katrina Marie Blackard practices in Southaven, MS and has the professional credentials of NP. The NPI Number for Katrina Marie Blackard is 1467051029 and holds a License No. 28617 (Mississippi).

The current practice location address for Katrina Marie Blackard is 401 Southcrest Cir Ste 212, Southaven, MS and can be reached out via phone at 662-349-0488 and via fax at 662-349-5974. You can also correspond with Katrina Marie Blackard through the mailing address at 965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN - 38120-9401 (mailing address contact number: ).

Location: 401 Southcrest Cir Ste 212, Southaven, MS, 38120-9401
person
Provider Profile Details
NPI Number
1467051029
Provider Name
Katrina Marie Blackard
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
401 Southcrest Cir Ste 212, Southaven, MS, 38120-9401
Phone Number
662-349-0488
Fax Number
662-349-5974
Provider Enumeration Date
10/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Southcrest Cir Ste 212
City
State
Zip
38671-6721
Phone Number
662-349-0488
Fax Number
662-349-5974
person
Provider Business Mailing Address Details
Address
965 Ridge Lake Blvd Ste 315
City
State
Zip
38120-9401
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
28617 (Tennessee)
Definition
Definition to come...
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