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Brent Blackburn, MD,AG-ACNP,FNP
Family Medicine Physician in Texarkana, Arkansas
NPI 1548669823

Brent Blackburn is a Family Medicine Physician based in Texarkana, AR. Brent Blackburn practices in Texarkana, AR and has the professional credentials of MD,AG-ACNP,FNP. The NPI Number for Brent Blackburn is 1548669823 and holds a License No. A004186 (Arkansas).

The current practice location address for Brent Blackburn is 3417 U Of A Way, Texarkana, AR and can be reached out via phone at 870-779-6000.

Location: 3417 U Of A Way, Texarkana, AR, 71854-1419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548669823
Provider Name
Brent Blackburn
Credential
MD,AG-ACNP,FNP
Provider Entity Type
Individual
Gender
Male
Address
3417 U Of A Way, Texarkana, AR, 71854-1419
Phone Number
870-779-6000
Fax Number
Provider Enumeration Date
08/22/2014
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
3417 U Of A Way
City
Texarkana
State
Arkansas
Zip
71854-1419
Phone Number
870-779-6000
Fax Number
person
Provider Business Mailing Address Details
Address
3417 U Of A Way
City
Texarkana
State
Arkansas
Zip
71854-1419
Phone Number
870-779-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
AK3349289 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
A004186 (Arkansas)
Definition
Definition to come...
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