Tierra A Blackmon

Nurse Practitioner

Dallas, TX 75390

Female - 6 Yrs Experience - English

Location

6201 Harry Hines Blvd

Dallas, TX 75390

Phone number

(214) 633-5555

Summary

Tierra A Blackmon is a Nurse Practitioner located at Dallas, TX 75390 and is affiliated with Ut Southwestern University Hospital - William P. Clements Jr. Hospitals. She received her medical degree from Other and has been in practice for more than 6 years.

Professional Identification

  1. NPI#: 1003261363
  2. PAC ID: 7618245895
  3. Clinician Enrollment ID: I20170612001079
  4. Gender: Female
  5. Enumeration: April 24 2016
  6. Last Updated: November 13 2019

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 2016
  4. Taxonomy: 363L00000X
  5. Specialty: Nurse Practitioner
  6. All specialties: Nurse Practitioner

Medical Practice

  1. Organization: University Of Texas Southwestern Medical Center
  2. Group PAC ID: 0648188250
  3. Number of Group Members: 2287
  4. Medicare CCN: 450044
  5. Hospital affiliation: Ut Southwestern University Hospital - William P. Clements Jr.

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 6201 Harry Hines Blvd, Dallas TX 75390 (214) 633-5555
  2. 12400 Dallas Pkwy, Frisco TX 75033 (469) 604-9000

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