Individual
KATHERINE BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3500 S IH 35, BELTON, TX 76513-9426
(254) 613-9871
Mailing address
20501 ROLLING CREEK RD, PFLUGERVILLE, TX 78660-6023
(936) 652-1344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099434
TX
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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