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
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78227-1905
- Phone
- (210) 645-4305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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