Tierra Elonda Blackmon

NPI #1003261363 in Dallas, Texas

Provider Information

NPI Number
1003261363
Entity Type
Individual
Name
Tierra Elonda Blackmon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 24, 2016
Last Updated
Nov 13, 2019

Practice Location

Address
5323 HARRY HINES BLVD
City
Dallas
State
Texas
ZIP Code
75390-7208
Phone
(214) 633-5555

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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