Individual
JENNIFER BLACKERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 BRIARWOOD AVE, MIDLAND, TX 79707-2753
(432) 682-5385
Mailing address
5000 BRIARWOOD AVE, MIDLAND, TX 79707-2753
(432) 682-5385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA17192
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
05/29/2025
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