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Shawna C Blackmon, PA
Physician Assistant in Nacogdoches, Texas
NPI 1487641536

Shawna C Blackmon is a Physician Assistant based in Tyler, TX. Shawna C Blackmon practices in Nacogdoches, TX and has the professional credentials of PA. The NPI Number for Shawna C Blackmon is 1487641536 and holds a License No. PA04131 (Texas).

The current practice location address for Shawna C Blackmon is 3816 N University Dr, Nacogdoches, TX and can be reached out via phone at 903-939-7500 and via fax at 903-939-7728.

Location: 3816 N University Dr, Nacogdoches, TX, 75701-8336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487641536
Provider Name
Shawna C Blackmon
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3816 N University Dr, Nacogdoches, TX, 75701-8336
Phone Number
903-939-7500
Fax Number
903-939-7728
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00743048 01 TX RAILROAD MEDICARE
8360ND 01 TX BLUE CROSS BLUE SHIELD
206265503 05 TX
206265502 05 TX
206265504 05 TX
206265501 05 TX
8Y8693 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3816 N University Dr
City
Nacogdoches
State
Texas
Zip
75965-2011
Phone Number
903-939-7500
Fax Number
903-939-7728
person
Provider Business Mailing Address Details
Address
3816 N University Dr
City
Nacogdoches
State
Texas
Zip
75965-2011
Phone Number
903-939-7500
Fax Number
903-939-7728
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA04131 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA04131 (Texas)
Definition
Definition to come...
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