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Individual
MS. MARY ZOE BLACKBURN
Active
Individual
MS. MARY ZOE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS-MS-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP111190
TX
364S00000X
Clinical Nurse Specialist
AP111190
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
AP111190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207705903
—
TX
05
—
207705904
—
TX
Enumeration date
07/18/2008
Last updated
10/27/2025
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