Alice T Blackmon, PNP-C

NPI #1265413264 in San Antonio, Texas

Provider Information

NPI Number
1265413264
Entity Type
Individual
Name
Alice T Blackmon, PNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
PNP-C
Enumeration Date
Nov 8, 2005
Last Updated
Dec 10, 2025

Practice Location

Address
7323 MARBACH RD STE 104
State
Texas
ZIP Code
78227-1905
Phone
(210) 645-4305

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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